The Health Journal Peninsula Edition October 2009 by The Health Journal

the

Health Journal

Peninsula Edition

Vol. 5 No. 5

www.thehealthjournals.com

October 2009

The Scoop on

Antioxidants

Also Inside The Skinny on Brown Fat Hemorrhoids: Help for the Hurt Enter Our Recipe Contest!

New Name. OSC SpineNew SpecialistsLook. Expertly Treat Neck & Back Nerve Problems OSSMS of Hampton Roads is now...

Our Fellowship-Trained Spine Specialists treat all nerve-related problems of the spine and understands the impact these disorders can have on your musculoskeletal system, balance and limb function. The skilled physicians of Orthopaedic & Spine Center can quickly diagnose and treat these conditions with the most advanced medical and surgical

To better represent all we have to offer you, and lumbar Of course, our practice will continue to incorporate treatments available, including cervical disc replacements. OSSMS will now be known as Orthopaedic & Spine Center. We are proud to be the region’s premier if you suffer from: provider for Orthopaedics and Sports Medicine.

• • • • • •

the latest medical innovations and techniques in both orthopaedic and spine surgery to improve the quality of life for our patients. Rest assured, we will

Pinched Nerves

Our group includes the only two fellowship trained Radiating Pain in Your Arm or Leg Orthopaedic Spine Surgeons on the Peninsula.

continue to offer the same comprehensive, thorough and personal care you have come to expect from us, Spinal Stenosis (narrowing of the spinal column) but with a new name and look.

Herniated Discs Spinal Fractures or Trauma Spinal Tumors

Experience Excellence

We can help! Give us a call for a consultation with our advanced spine care team, providing your continuum of care from Physical Therapy to Surgery. Experience Excellence at OSC!

The OSC Spine Care Team Fellowship-Trained Spine Surgeons

OSC COmmuNiTy LECTurE SEriES – OCTOBEr 2009

your Painful Shoulder:

The Latest Advancements in Treatment Join Dr. Martin Coleman for an informative talk about the latest treatments for shoulder pain. From repairing rotator cuff tears to Jeffrey R. Carlson, M.D. Mark W. McFarland D.O. reverse shoulder replacement, Dr. Coleman will explain how modern science allows Fellowship-Trained interventional Pain management Specialists doctors to successfully treat almost any shoulder problem. Educational literature will be provided, as well as delicious refreshments. Bring a friend! Please RSVP. We provide complete orthopaedic care. Robert J. Snyder, M.D. Raj N. Sureja, M.D.

Jeffrey R. Carlson, M.D.

Edward P. Petrow, Jr., D.O. Jenny L. Andrus, M.D.

�� Open MRI Center Experience Excellence

Tuesday, October 7:00 PM Martin R. Coleman, M.D. 20th, Mark W. McFarland, D.O. Martin R. Coleman, M.D. 1-877-202-9130 Boyd To W.register, Haynes, call: III, M.D.

250 Nat Turner Blvd. Learn more about our full range of Newport News, VA 23606 orthopaedic www.osc-ortho.com 751 J. Clydeservices Morris at Blvd., Newport News, VA 23601

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On the Cover The Scoop on

Antioxidants

Antioxidants such as vitamin E, shown on this month’s cover, and its cohorts A, C and others like zinc and selenium, may offer protection against diseases by neutralizing damaging free radicals. The scientific conundrum, though, is that studies often contradict one another as to the true benefits of antioxidants. Get the whole scoop, starting on page 22.

Inside NOVEMBER 2009

6 features Help for the Hurt | 6 A Williamsburg practice offers a new, less painful treatment for hemorrhoids, an uncomfortable condition that affects nearly half of U.S. adults.

IN EVERY ISSUE Detox Diets: Healthful or Hazardous? | 20 Area dieticians disclose their opinions about controversial cleansing diets.

The Skinny on Brown Fat | 15

Fighting This Year’s Flu | 30

Not only does this wonder fat linger long into adulthood—contrary to what scientists once believed—it is still active in most of us.

Terrina Thomas of Optima Health answers some frequently asked questions about the seasonal flu as well as the newer H1N1 strain.

The Alexander Technique | 16

She’s Found Her Calling | 42

You just might be surprised at what this century-old practice can do for your mental and physical well-being.

Letter from the Editor | 4

The road to success has been perilous for physical therapist Anna Dube. Learn how an almost fatal accident inspired her to help others reach their full potential.

To advertise, call 757-645-4475

THE HEALTH JOURNAL

October 2009

LETTER FROM THE EDITOR the

Health Journal Peninsula Edition

Publisher

Brian M. Freer

ith the holidays just around the corner, I’m looking forward to two things: spending time with family and enjoying good food. Even though our family traditions have changed since I was a kid—we typically spend Thanksgiving with Brian’s family in Chicago and Christmas in Williamsburg—I always think back to childhood holidays spent in Norfolk with my paternal grandmother, Natalie, who, as you may recall from an earlier column, passed away in June just before her 90th birthday. Grandma Natalie, a graduate of Maury High School and longtime member of Talbot Park Baptist Church, was a wife, mother, grandmother and finally, just in time to hear the joyous news, a great-grandmother. She was also a dynamo in the kitchen. Every Thanksgiving she prepared plenty of the traditional fare—a turkey, stuffing and rolls—but it was her signature dessert that we always anticipated with watering mouths and growling stomachs. Known simply as Grandma Natalie’s Cranberry-Apple Casserole, the dish called for crisp red apples, plump fresh cranberries, a custom granola topping, and golden brown sugar—lots of it. The dessert was such a hit that, even long after my parents separated and Grandma Natalie grew too ill to entertain guests, my mother kept up the tradition by making that casserole year after year. To this day it’s a mainstay on her dinner table or buffet, and not just on special occasions—though she’s made a few healthful modifications to the recipe, such as using a brown-sugar substitute. Some of the best recipes come from family kitchens. That’s why The Health Journal is asking readers to send us their healthy holiday recipes, whether they’re original creations or healthy spins on classic dishes. Perhaps your inspiration will come from having a family member with special dietary needs (e.g., the result of a food allergy or diabetes) or from a recent pledge to eat more local or organic meats and produce. Or, maybe reduced-fat pumpkin pie is part of your plan to avoid the five to 10 pounds most Americans put on during the holidays. Whatever the reason behind the recipe, we want to hear about it. Turn to page 12 in this month’s edition for more details on how you can enter to win either $100 cash or a gift certificate for dinner for two and a chance to be featured (with your recipe, of course) in an upcoming issue. There will always be cooks like my mom, who, years ago, resolved to secretly incorporate more vegetables into her children’s diets. She still recalls (and now laughs about) the crestfallen expressions on the faces of eight little children when she served a special birthday party treat—a whole-wheat carrot cake (shredded carrots visible) topped with low-fat yogurt icing. And she’s still up to her tricks. For my husband’s recent birthday, Mom whipped up a special dessert just for him: mini chocolate bundt cakes with shredded zucchini packed inside. But, to her credit, Mom was onto something even back then. And Grandma Natalie was, too, with her cranberries and apples. This month’s feature story explores the latest news on antioxidants—substances most plentiful in fruits, vegetables and (thank goodness) red wine—and their role in the prevention of disease. Study results are mixed: many show health benefits from antioxidants while others suggest either no benefit or, in some cases, adverse effects. But all in all, most experts agree on two key concepts: that antioxidants stand to do us more good than not, and that food, not supplements, remains the best source for getting them. So, eat up. And don’t forget to send in your special recipe. I just might share mine. photo by Brian M. Freer

Executive Director

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny Photography

Brian M. Freer Page Bishop-Freer Contributing Writers

Christopher Burnham, DC Brandy Centolanza Emily Clark Gregory Epps Alex Guillen Gayle Jackson, CPT Omar Manejwala, MD Raj Sureja, MD Terrina Thomas Brenda H. Welch Circulation

Press Run: 28,526 Direct Mail: 23,526 Homeowners & Businesses in 23601, 23602, 23606, 23608, 23662, 23666, 23669, 23692 & 23693 zip codes. u.s. postal carrier The Health Journal is a monthly publication direct-mailed to homes and businesses in Hampton, Newport News, Yorktown and Poquoson. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address. The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements. For Advertising and editorial Information, call or write:

The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

Page Bishop-Freer, Editor page@thehealthjournals.com

THE HEALTH JOURNAL

October 2009

www.thehealthjournals.com

INBOX Kudos “I enjoy your Health Journal, but this month’s edition [Sept. 2009] was particularly enlightening and useful. I know many people have asked the question about whether to go to an urgent care facility or the emergency room [p. 14]. The calories and fat content comparison [p. 37] was interesting, if a bit depressing. The article on teen athletes [p. 38] hit close to home, although my son is only eight. I could go on. Good job!” Chris N., Newport News “Your Journal is an excellent tool for getting health information out to our community.” Sherry B., Newport News

Health Directory “I have found your Journal very helpful since I began receiving it some time ago. The article on urgent care in the latest edition [Sept. 2009] was interesting and useful. However, it could be enhanced if your Health Directory included a list of urgent care centers with location, phone numbers, hours, etc. Is there a reason why such a list is not there? Thanks again.” Felix D., Hampton Roads Ed.: Our Health Directory does include such a list. Local urgent care facilities are listed under “Hospitals and Clinics.” Each location’s address and phone number are included free of charge. The Health Journal is completely subsidized through paid advertising, which allows us to provide the publication free to over 81,000 homes and businesses each month. In our view, also listing a practice’s hours of operation would border on free advertising.

Pilates

were excellent. However, the meals were not. Vegetables were routinely overcooked. The canned fruit served was obviously a cheap variety. Toast was routinely soggy. Perhaps your staff should go down and eat with the patients to see what it’s like.” Marguerite N., Williamsburg Ed.: The Health Journal is merely a vehicle for advertisers to deliver their message. We do not take responsibility for the quality of their services.

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LOCAL BEAT

New Help for Hemorrhoids

Sentara Ranked on InformationWeek 500 InformationWeek magazine has listed Sentara Healthcare 21st on its “2009 InformationWeek 500,” an annual rating of the nation’s 500 most innovative users of business technology. The recognition reflects Sentara’s implementation of e-Care, a comprehensive electronic medical record system, which began in 2008 and is expected to be complete next year.

Infrared Treatment Quick, Less Painful

Senior Charity Appoints Local Director The Twilight Wish Foundation, which grants wishes to disadvantaged seniors 68 years and older, has appointed Georgette Thourpe as regional director of the organization’s Hampton Roads chapter. Thourpe, who has 30 years’ total experience in the health care field, is currently the office administrator for Senior Helpers in Williamsburg.

YMCA Helps Teens Kick the Habit The American Lung Association has chosen eight local YMCA locations to host its free 10-week “Not on Tobacco” (NOT) program for teens, which is funded by the Virginia Lung Association. For more information, contact your local YMCA branch at (757) 247-YMCA.

New Director for Sentara Foundation Meril Amdursky, CPA, has been named executive director of the Sentara Health Foundation, an organization dedicated to fulfilling the medical needs of the Hampton Roads Community. Among its achievements, the foundation started the region’s first mobile dental clinic and helped create the Minority Health Coalition of South Hampton Roads.

Guide Says “Buy Fresh, Buy Local” Buy Fresh, Buy Local Hampton Roads—a movement promoting locally grown food—has created a consumer’s guide to local farm and seafood products (as well as the restaurants that serve them). The free guide will be distributed this fall at local farm stands and farm markets and is available online at www. buylocalvirginia.org.

Free Flu Shots for Those with MD Walgreens stores have teamed up with the Muscular Dystrophy Association to offer free seasonal flu shots (and the H1N1 vaccine when available) to people who have muscular dystrophy and related diseases. Call 1-800-WALGREENS or visit www.Walgreens.com/flu for further information.

THE HEALTH JOURNAL

Dr. Mark Moniz (above) and fellow surgeons at Williamsburg Surgery, PC, began offering infrared coagulation for the treatment of hemorrhoids last year and have since seen remarkable results.

Written By Alex Guillén Photography By Brian M. Freer

emorrhoids are an uncomfortable topic—literally. They are painful and appear in an embarrassing part of the body, and the treatments often take time and great amounts of discomfort to heal. In the past several decades, however, a new treatment has emerged, first overseas and more recently in the United States: infrared coagulation, or IRC. Hailed as non-invasive and less painful than other surgical

October 2009

options, IRC has become a popular alternative outpatient procedure for the treatment of hemorrhoids. Williamsburg Surgery, PC, a practice of Sentara Medical Group, began offering the procedure last October, and doctors have since seen good results. Hemorrhoids occur when veins in the rectum swell inside the anal cavity, causing itching, soreness and some bleeding. Although painful, the condition is typically not dangerous or lifethreatening—and it’s fairly common. Fifty percent of Americans have hemorrhoids by age 50, according to the American College of Gastroenterology, but only five percent of sufferers seek medical treatment. There are two types of hemorrhoids: internal and external. Internal hemorrhoids form inside the anal opening, while external hemorrhoids obtrude outside the anus, forming lumps that can be painful to touch. Many hemorrhoids are so small as to cause no problems whatsoever, going undetected in a large percentage of people. The condition is graded on a fourdegree scale, with first-degree hemorrhoids remaining completely internal and fourth-degree hemorrhoids large enough that they cannot be internal. Hemorrhoids typically form because of low-fiber diets that require strenuous bowel movements. However, abdominal pressure can spark the condition, which is common among pregnant women and weight lifters. Common treatments for hemorrhoids range from simple solutions for minor occurrences, like a high-fiber diet and over-the-counter steroid creams, to more invasive surgical procedures such as rubber band ligation (when a band is used to cut off blood flow to the inflamed tissue, allowing it to subsequently wither); injection therapy (to collapse the hemorrhoid); and the most serious alternative, hemorrhoidectomy (in which the vein is surgically removed). Infrared coagulation was first de

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LOCAL BEAT veloped in 1977. It steadily became more popular over time and has become a sought-after alternative—it’s a low-impact procedure with few risks and high efficacy. Essentially, short bursts of infrared light are applied to the hemorrhoid, heating it and forming clots which seal the

treatment. The results of a 2007 study published in Diseases of the Colon and Rectum compared hemorrhoid treatments and found that there were few complications with IRC and that significantly fewer patients experienced pain during recovery than after other procedures. A 2008 article in the Bra-

Fifty percent of Americans have hemorrhoids by age 50, according to the American College of Gastroenterology, but only five percent of sufferers seek medical treatment. tissue and eventually obliterate the lump. “In effect, what you do is cut the blood supply to the hemorrhoid plexus of veins; they decrease in size and then that usually alleviates the patients of their symptoms,” says Dr. Mark P. Moniz, one of the surgeons at Williamsburg Surgery, PC, who performs the procedure. “It’s the same principle as we use in the operating room with our electrocautery devices; using electricity causes the destruction of the tissue and then the vessels clot and [stop bleeding].” As IRC became more popular across the U.S., doctors at Sentara heard about it. They had been looking for a new treatment, Moniz explains, one that could be performed in a doctor’s office instead of a surgical suite and offered quality results and a fast recovery time. “One of my partners came across this technology and discussed it with the rest of us, and we decided it was a good thing to try, so we’ve been offering it ever since,” Moniz says. It was a simple procedure for Williamsburg Surgery’s doctors to learn— all it takes is shining a light on the affected area for a predetermined amount of time. “The [best] thing about the equipment is that it’s almost fool-proof,” Moniz says. Risks and side effects of IRC are low, a marked difference from the alternative surgical treatments. Says Moniz: “The risks are pretty minimal because the light is on a timer. There’s always the risk that you can have some temporary urinary retention [the inability to urinate]. You can have some mild bleeding or discomfort, but there is no real risk of perforating the rectum.” Medical journals from around the world have published studies for years reaffirming the effectiveness of IRC

zilian Journal of Medicine concluded that patients treated with infrared coagulation experienced far less pain with equal results. IRC has proven to be effective for patients at Williamsburg Surgery, too, where Moniz estimates some 30 or 40 patients have received the procedure since the practice began offering it last year. “It’s been very effective,” he says.

“The patients that we’ve seen back have been very happy. All of [their] symptoms have resolved with little to no discomfort. Following the procedure, many were able to make it back to their normal activity either the same day or within 24 or 48 hours. Even the people who required more than one application of the infrared coagulation seem to be happy with the results.” Moniz notes that infrared coagulation’s effectiveness, combined with the quick recovery time, makes it an excellent treatment option for hemorrhoid sufferers. “The thing that we try to emphasize to the primary care physicians who refer to us is, this is something that we can do during a patient’s initial visit, so it’s not only effective but very convenient for the patients, and they seem to tolerate it very well,” Moniz says. “Once we see them during the initial consultation, if we feel they’re a candidate, it’s something we can do right away in the office. It only takes a very short amount of time, maybe five or 10 minutes. And they’re able to go home.” HJ

A research study with a pharmaceutical company evaluating the safety and effects of an investigational drug for Type 2 Diabetes is being conducted. —

Type 2 Diabetes

—

18-80 years of age

—

Currently treated with metformin

Office study visits

—

Study-related laboratory tests

—

Study-related physical exams

—

Diet and diabetes counseling

—

Study medication

To learn more about the diabetes research study, please call Hampton Family Practice

Two Peninsula physicians have joined the Operations Committee of the Norfolk-based world health charity “Physicians for Peace”: Lisa Casanova, M.D., an OB/GYN with Riverside Medical Group, and John Robb, CPO, a certified prosthetist and owner of Reach Orthotics and Prosthetics. Physicians for Peace is most recognized for its Maternal Health program (aimed at reducing infant and mother mortality rates) and the Walking Free program (helping to rehabilitate amputees).

Riverside Hospice Honors Late Benefactor Last month Riverside Hospice held a reception in honor of the late Pierre Dohet of Kilmarnock, who, prior to his death, endowed the Riverside Health System Foundation with a gift of $470,000 last January. He made his bequest in thanks for services that Riverside Hospice provided to his wife Kathryn, who preceded him in death at age 80 in 2001.

Dentist to Donate $12,000 to Children’s Charity Dr. Lisa Marie Samaha and her team at Port Warwick Dental Arts raised $12,000 for Children’s Hospital of The King’s Daughters through the practice’s Smiles for Life Campaign held last March through May. For every patient who came to the practice for professional tooth whitening, 100 percent of the revenue was donated to CHKD. Dr. Samaha and her staff will present a check to CHKD during an open house/fundraiser Oct. 15 at Port Warwick Dental Arts. (See the Calendar on page 40 for event details.)

HR-ENT Welcomes New Physician

If eligible, you may receive at no cost, these items: —

Doctor-Directed Charity Gains Helping Hands

John L. Howard, M.D., has joined Hampton Roads ENT-Allergy and will see patients at the practice’s Williamsburg and Gloucester offices. Howard is a graduate of Vanderbilt University School of Medicine and is board-certified in otolaryngology (ear, nose and throat medicine).

Health Fair to Benefit Senior Task Force Commonwealth Assisted Living in Hampton will host a Senior Services Health Fair from 10 a.m. to 3 p.m. on Thursday, Oct. 29. This event is free and open to the public. All vendor fees will benefit the Peninsula Task Force on Aging.

(757) 838-6335

To advertise, call 757-645-4475

THE HEALTH JOURNAL

October 2009

SNAPSHOTS

Dr. Lisa Marie Samaha and her team at Port Warwick Dental Arts have chosen two Hampton Roads residents as the winners of the practice’s first ever Smile Makeover Contest. Starting this month, Terri Cane of Williamsburg and Michael Boyd of Hampton will each receive tens of thousands of dollars worth of life-changing dental treatments. Front row: (left to right) Noah Cane and mother Terri Cane, Dr. Lisa Marie Samaha, Michael Boyd. Second row: (left to right) Port Warwick Dental Arts team members Eliza Richardson, Lisette Bunting, Abby Sharpe, Renee Smith and Maria Luinetti; relatives of Michael Boyd.

Bon Secours Hampton Roads is offering health care services to the uninsured through the Care-A-Van, a mobile clinic that visits select Newport News churches—Calvary Chapel and First Baptist Church East End—the second and fourth Wednesday of every month. Services offered include immunizations, routine exams and treatment for common illnesses.

During a luncheon hosted by Child Development Resources, Amanda Gada (left) and Leslie Skinner (right), co-chairs of The Vineyards 5K race to benefit CDR held in Williamsburg in August, presented John Herrin (representing The Vineyards community) with “an award of appreciation.”

The committee members for the 2009 Memory Walk Williamsburg to benefit the Alzheimer’s Association are busy preparing for the Nov. 7 Walk, which will begin at the Williamsburg Community Building. (See our Calendar for details on the Southside and Peninsula Walks scheduled for October.) Back row, from left to right: Ed Golden; Bob Bruce; Blair Lawson; Dana Gieger; Walk Chair Marjorie Hilkert; Douglas Panto. Front row, left to right: Lisa Chapin; Christine Jensen, Ph.D.

5,6

(5) Catesby Jones (left), founder of Peace Frogs clothing and gifts, presents a check for $2,176.78, raised through the company’s annual “Peace Frogs Bank to Bank Swim,” to Allison Brody, director of development at Child Development Resources in Williamsburg. (6) The Williamsburg Area Association of Realtors (WAAR) raised $2,500 for Child Development Resources during its 11th Annual Golf Tournament. Far left, Paul Scott, executive director of Child Development Resources, and far right, Frank Hughes of WAAR.

On Sept. 12, two students from Walsingham Academy—Kaleigh Earle and Katie Brown—led the school’s third annual “Catwalk for the Cure” fashion show to benefit local breast cancer support and advocacy group Beyond Boobs! Here, Earle and Brown meet with Beyond Boobs! co-founder Rene Bowditch (right) to discuss plans for the show. Bowditch frequently visits hospitals and cancer clinics dressed as “The Good Health Fairy” to bring cheer to patients.

We Want Your Snapshots! Readers may submit pictures of health-related happenings throughout Hampton Roads. Please remember to include a brief description of the photo as well as the full names of individuals featured.

8,9,10

Representatives from local health and medical providers gathered at Mary Immaculate Hospital for the first of three Bon Secours Senior Fest health expos. (8) A staff member from home health care agency Visiting Angels lives up to the company name; (9) Physician Liaison Shannon Woods of Orthopaedic and Spine Center (left) and colleague greet seniors with a smile; (10) Terry Whitaker of Virginia Health Rehab (right) and Kristin Massey of Virginia Health Services pose for a picture.

Daniel Oostra

Send Your Health Snapshots to: page@thehealthjournals.com

To raise awareness about the Lackey Free Clinic, last month the clinic’s staff, along with Hampton University pharmacy interns, informed Yorktown residents about the clinic’s Pharmacy Connection program, which provides the uninsured with vital medications.

Community leaders met at the James City/Williamsburg Community Center on Sept. 23 to celebrate the launch of the Network of Care website (www.gwcac.va.networkofcare.org), an online resource designed to meet the behavioral health needs of area youth by matching families with providers. The site, developed by Trilogy Integrated Resources, LLC, will be managed by the Colonial Services Board and staff of the Greater Williamsburg Child Assessment Center. (Left to right): Leigh Carroll-Stump, GWCAC coordinator; Kathy Sternbeck, trainer, Trilogy; David Coe, CSB executive director; Rene Cabral-Daniels and Paulette Parker, both of the Williamsburg Community Health Foundation. October 2009 8 THE HEALTH JOURNAL

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U.S. life expectancy hits a new high of 78 WASHINGTON (Reuters)

.S. life expectancy is the highest it has ever been at 77.9 years, according to government statistics (based on 2007 data) released in August. Both men and women gained, but women still live on average more than five years longer than men, the Centers for Disease Control and Prevention reported. “The 2007 increase in life expectancy, up from 77.7 in 2006, represents a continuation of a trend,” the CDC said in a statement. “Over a decade, life expectancy has increased 1.4 years from 76.5 years in 1997 to 77.9 in 2007.” Newborn baby boys can expect to live to be 75 on average, and girls can expect to be 80. “For the first time, life expectancy for black males reached 70 years,” the CDC said. Most Americans die of heart disease or cancer—these two diseases accounted for 48.5 percent of all deaths in 2007. Death rates fell slightly for influenza and pneumonia, murder and accidents. But the death rate for the fourth-leading cause of death, chronic lower respiratory diseases such as emphysema, increased by 1.7 percent. The United States has lower life expectancies overall than comparable developed countries. For example, life expectancy for babies born in Japan and Singapore has reached 82. French babies will live to be 80.9 on average, while those born in Sweden, Italy, Australia and Canada can expect to live to be more than 80.

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HEALTH IN HISTORY

Hemlock, Lizards, Mercury and Arsenic:

Early Cancer Treatment a Tough Pill to Swallow Written By Brandy Centolanza

hile medical advances have led to better treatments (and in some cases, cures) for certain diseases that plagued Americans during the 18th century, cancer then was deadly—and for many people, remains so. Colonists experienced many distinct types of cancer, a disease that spread most quickly in the breast, uterus, skin, testicles, penis, prostate, stomach, liver and parts of the mouth. However, treatment for cancer was much different during the Colonial era than it is today. “Many cancer victims experimented with some type of home treatment before approaching a professional,” explains Sharon Cotner, an interThe Pasteur & Galt Apothecary sits preter and medical historian at the on Duke of Gloucester Street in BONHR8053 GNO_HRHJ 1/4pgB&W:Layout 3:33 PM Page 1 Colonial Williamsburg. Pasteur & Galt Apothecary in Colonial 1 9/25/09

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THE HEALTH JOURNAL

well with this disease.” Mercury proved unsuccessful, however, so doctors next tried using arsenic in a medicine called “Plunkett’s powder.” The remedy consisted of crow’s foot and hog’s-fennel (both plants), crude brimstone (sulfur) and white arsenic that were ground into a powder, mixed with egg yolk and pressed against the cancerous area of the body. “Another poison, hemlock, introduced by Dr. Anton Storck in 1760, was initially considered a medical breakthrough and a specific [treatment] in cancer care, particularly that of the breast,” Cotner says. Storck prepared a medicine from its juice, though the practice was eventually proven ineffective. Guatemalan lizards were used in yet another unusual treatment: patients were instructed to swallow two or three of these lizards daily, on an empty stomach, to destroy the cancer. Other doctors believed in the use of blood-letting, a popular method in Colonial times that was thought to cure a variety of ailments. The most effec-

Williamsburg. Cotner has done extensive research on cancer during the Colonial period. Colonists first tried home remedies, including herbal ones, found in the many domestic medical guidebooks available. They also sometimes followed the advice of lay practitioners who advertised their services in The Virginia Gazette, Patients were often instructed to though trained physwallow Guatemalan lizards—two sicians criticized such individuals for to three daily—to cure their cancer. their inexperience. Some doctors believed in stronger courses of action. tive treatment for cancer, however, For example, they would first attempt was to remove the diseased part of the to rid the body of the disease by giving body. This worked especially well for patients herbal concoctions with ingre- the treatment of breast cancer. dients such as sarsaparilla, sassafras, Cotner notes: “Even though the china root, serpentaria (Virginia snake- materials selected to treat cancer in the root) and guaiacum (a wood resin, often 18th century were not successful, the used to treat syphilis). When that didn’t use of poisonous medications in this work, the physicians turned to more situation can be compared to our modpowerful and more controversial meth- ern use of [chemotherapy] and radiaods that included mercury (often used tion therapy, which are both potentially to treat venereal diseases), arsenic, the harmful.” HJ poisonous hemlock plant and lizards. “Practitioners frequently employed Don’t miss next month’s Health in mercury to treat cancer,” Cotner says. History series finale, where we’ll “They reasoned from analogy that if take a look back at some of the topit had such a powerful effect over the ics covered in this column over the ‘venereal poison,’ then it would do as past year.

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October 2009

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Health Journal

Food and fellowship are the hallmarks of every holiday. But what about those who are watching their waistline, or those who have special dietary needs? Tell us how you trim your holiday trimmings in The Health Journal’s First Ever “Healthy Holiday Recipe Contest.” Remake a classic dish or submit an original recipe. If there’s a special story behind your unique culinary creation, please include that, too.

Deadline for submissions is November 13th

1. How To Enter: Contest ends on Nov. 13, 2009. To enter, e-mail or mail your recipe, and if possible, a photograph of the recipe fully prepared. Please include your full name, address, telephone number and valid e-mail address. E-mail your recipe to info@thehealthjournals. com or send via mail to The Health Journal, 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188. 2. Photo Requirements: Electronic photos must be 300 dpi at a minimum size of 3 x 5 inches (900 x 1,500 pixels). To be safe, use a 3.2 megapixel camera (at minimum) set at its highest quality. 3. Copyright: The Submission must be the original work of entrant and not previously published. Submission must not infringe on the copyright, trademark, privacy, publicity or other intellectual property rights of any person or entity. All entries become the property of the publisher and will not be returned. We reserve the right to use your entry in all print and electronic media, and to edit it for brevity and clarity. 4. Judging: The winner of the contest will be determined by judging all the entrants’ submissions based on the following criteria: healthfulness, originality, presentation and personal story. The Health Journal editors and nutrition experts will judge recipes. One Grand Prize winner will be selected. 5. Prizes: The Grand Prize winner will receive $100 and will be featured in the December issue of The Health Journal. All prizes will be awarded in full. Staff members and their relatives are not eligible. 6. Selection of Winner: Winners will be selected on or about Dec. 1 and notified by phone and/or e-mail.

E-mail your submission to: info@thehealthjournals.com Or mail your recipe submission to: The Health Journal C/O Holiday Recipe Contest 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188 Any questions, call 757-645-4475 12

THE HEALTH JOURNAL

October 2009

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BREAKTHROUGHS

The Skinny on Brown Fat

Recent studies suggest brown fat could lead to obesity treatments

Written By Gregory Epps

here is one kind of baby fat that we don’t want to lose. It kept us warm in the cradle, burning many times its own weight in calories, and it may help future generations fight obesity. For decades, scientists and health experts have known about brown fat. For most of that time it was thought that we lost our stores of brown fat soon after infancy. Infants use brown fat (before the ability to shiver develops) to maintain consistent body temperature upon emerging from the womb. But now in the wake of recent studies published in The New England Journal of Medicine, we know that not only does brown fat linger in the body well into adulthood, it’s still active. “We were thinking that brown fat would not play much of a role in adult humans,” says Dr. Yumi Imai, assistant professor of internal medicine at Eastern Virginia Medical School. “But it’s interesting that there’s an inverse correlation between body weight and brown fat. Obese people have less brown fat. So theoretically, we can stimulate the brown fat to be more active in these people. This is important because obesity is epidemic now, and obesity is linked to diabetes, heart disease and arthritis.”

The Research Dr. Aaron Cypress, the lead writer behind the recent NEJM report, highlighted the weight-to-brown fat correlation, pinpointed the fat’s location in small quantities around adult necks and collarbones, and found that it’s more active in people who live in colder regions. But CNN’s website reports Dr. Cypress’s light-hearted caution: “I don’t think hanging out in the cold would be an effective way to fight obesity.” According to Dr. Imai: “Brown fat cells are full of mitochondria—the ‘power plant’ for the cells. They’re very efficient in burning energy and creating heat.” As a physician who treats diabetes— an obesity-related condition—Dr. Imai is particularly interested in brown fat. For obesity, diet and exercise are still, as she puts it, “a cornerstone of treat-

Researchers hope that the discovery of adult brown fat might lead to an obesity treatment that’s superior to diet pills, that takes off the weight and keeps it off.

ment.” But Dr. Imai has seen how the resulting weight loss can be difficult to maintain because “the body has a mechanism to try to hang onto weight that’s been gained.”

Treatment Potential Researchers hope that the discovery of adult brown fat might lead to an obesity treatment that’s superior to diet pills, that takes off the weight and keeps it off. Dr. Imai agrees that research on brown fat is intriguing, but also that it “still has a long way to go.” At this early stage, the discovery of the existence of brown fat in adults is not nearly as interesting as the possible power of brown fat to assist in weight loss. Does this discovery mean that the ultimate diet pill is on the way—the quick solution we’ve been looking for— and at last we’ll have the ability to burn fat in our sleep? Dr. Imai agrees that the potential is there. She and fellow researchers are focusing on positive medical applications for brown fat, such as the treatment of obesity—a medical condition that costs the U.S. $147 billion annually. But until scientists unlock brown fat’s full potential, Americans are advised to follow the age-old prescription for weight loss: eat fewer calories and exercise more. HJ

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THE HEALTH JOURNAL

October 2009

MIND-BODY

Using the Mind to Free the Body:

The Alexander Technique Written By Emily Clark Photography By Page Bishop-Freer

hat movement method has helped people move with freedom and ease for over 100 years? It’s called the Alexander Technique, named after F. M. Alexander, an Australian actor who developed it in the 1890s after doctors could not cure his persistent laryngitis. After nine years of close self-observation, Alexander pinpointed his problem—muscle tension. He determined that the key to complete physical well-being is creating stability between the head, neck and back while minimizing muscle strain. The Alexander Technique is a gentle movement education program. It addresses the whole person, not just the body. With intention and mental clarity, people can learn to “undo” unconscious patterns of muscle tension that interfere with coordination and learn new ways to perform activities to reduce pain. The first step is to become aware of unconscious patterns of muscular tension. When you begin to notice those patterns, they become less habitual. The goal is to release them by learning conscious ways of moving with ease, whether you’re walking, working at the computer or doing yard work. During a session (called a lesson), teachers trained in the technique use hands-on and verbal instruction to guide clients through simple movements like standing, sitting, walking and lying down. The teacher helps the student to recognize unconscious movement habits. Together, they explore new ways of moving that don’t involve tension and stress. Below are answers to some frequently asked questions about the Alexander Technique:

Certified Alexander Technique instructor Emily Clark helps a student recognize patterns of muscle tension, then determine how to release them.

THE HEALTH JOURNAL

Q. Is it an exercise program? A. Even though it involves movement, the Alexander Technique is not an exercise program. The goal is to learn to use the appropriate muscle strength for an activity rather than overdoing it. Many people who have learned the technique also find they can do sports and fitness activities with better posture and balance. I worked with a horseback rider, Paula, who was recovering from a leg broken in three places. Her balance was so affected by her injury that she walked with a terrible limp. When she tried to ride, she had trouble controlling which direction her horse was going. Her doctors told her she might never ride competitively again, but she was determined to recover. When you are injured or in pain, you instinctively try to protect the injured area by tightening your muscles. If your left leg is broken, for example, you may unintentionally over-tense your

October 2009

right side. This can affect your balance. By learning to undo the tension throughout her body, Paula regained balance, control and confidence in the saddle. She began showing her horse and teaching riding again, and her walking improved. Q. How does the Alexander Technique work? A. The technique is based on three principles: 1. Recognizing and stopping habitu al patterns of muscle tension

2. Using conscious thought to free and lengthen the body’s structure

3. Allowing the head to balance freely on the top of the spine in order to allow for balanced movement

Try watching an animal, such as a cat, jump onto a table. You’ll notice that it waits until the right moment, lengthens its neck muscles, then grace

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MIND-BODY

fully leads the way with its head. The human body is meant to move the same way, but we over-tighten our necks more often than not. Tightening the neck is the body’s natural response to fear, danger and stress. It’s part of the “fight or flight” response, and it throws the body out of alignment. The weight of the head is like a bowling ball pressing down on the spine and collapsing your posture. People can spend most of their lives in this state of imbalance without noticing it until they experience pain. Awareness can lead to change. You can, as Alexander said, “stop doing the wrong thing (tightening your neck) and let the right thing (allowing your head, neck and back come into balance) do itself.” If an Alexander teacher asks you to imagine your back lengthening and your torso widening, this conscious thought will likely manifest itself in your body by dissolving any tension.

In recognition of Alexander Technique Awareness Week (Oct. 10-16)

massages and the rest received standard medical care. At the end of the study, the 144 participants who’d received 24 Alexander lessons had improved their freedom of movement by up to 45 percent compared with the control group. In the study’s last month, this group reported an average of only three days of pain compared to 21 days for the control group. The study also found that only six lessons, followed by light exercise, were almost as effective at easing pain as 24 lessons. HJ

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Q. How does the Alexander Technique compare to other mind-body disciplines like yoga? A. Alexander, yoga, Pilates and other disciplines emphasize the unity of the mind and body. No movement happens in isolation. With yoga and Pilates, specific poses or movements guide the practice. During an Alexander lesson, with your teacher’s guidance, you’ll become aware of your movement. Many people find they can apply the Alexander method of using conscious

thought to free the body to their yoga or Pilates as well. Q. Can the technique help with my back and neck pain? A. Yes. The Alexander Technique is a great way to achieve a healthier back. A study published last August in the British Medical Journal followed 579 people with back pain for one year. Onefourth received 24 Alexander lessons, another fourth received six Alexander lessons, another fourth received 24

In 2002, Emily Clark received her certificate to teach the Alexander Technique from the Constructive Teaching Centre in London. While in England she completed an apprenticeship with the Master of Movement at Shakespeare’s Globe Theatre. Today she maintains a private practice in Williamsburg where she teaches the Alexander Technique to clients. She can be reached by e-mail at alexandertechnique@myatcenter.com.

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October 2009

FITNESS

Breaking Through the Weight-Loss Plateau Written By Gayle Pinn

It’s an all-too-common situation: Through exercise and dietary changes, you finally begin to see the results of your efforts. You’re losing weight, looking better and feeling more confident. Then all of a sudden you stop seeing results. Like so many others before you, you’ve probably reached the dreaded “plateau.” Your body has adapted to the same workout that used to produce remarkable results. Your once-ideal fitness plan begins to fall short. When your body becomes ultra-efficient in your current exercise regimen, you have to adjust either the intensity or frequency of your workouts to continue to reap the maximum benefits.

To bust through the plateau, try these tips:

Add weight-bearing exercises

Up your cardio routine

Change your attitude

If you’re not already doing strengthtraining exercises, then start now. In addition to a healthy, balanced diet, strength training is one of the most important factors for long-term weight loss. Lean muscle increases your metabolism and allows your body to burn more calories, even at rest. If you already strength-train but have reached a plateau, try changing your routine. For example, if you’re currently doing a full-body workout on circuit machines three times a week, then try adding an extra day, or move over to the free weight area of your gym. Also, try increasing the weight you are lifting or the number of repetitions. You could also work different muscle groups on different days (for example, work the upper body on Tuesday and lower body on Wednesday). If you’re not sure where to start, consult a personal trainer who can design a routine for you and help keep you motivated.

Ask yourself this: Are you doing enough cardiovascular exercise, and if so, is it at a high enough intensity? As a general rule, aim for at least 30 minutes of cardio, three to four times per week. If you’re already there, try increasing the intensity or frequency of your sessions. Or, experiment with the type of cardio exercise to challenge your body and shake up the norm. For example: if you run or jog, try spinning instead. If you’re a walker, try cycling, jogging or speed walking.

Is your attitude only making that plateau tougher to handle? For most of us, reaching a fitness plateau is discouraging. Once you hit that wall, you need motivation to continue. Remind yourself why you started this process, how far you’ve come and how much work it’s taken to get there. Try to recapture that initial enthusiasm. Perhaps set a new goal to keep the challenge going.

THE HEALTH JOURNAL

Keep a diet and fitness journal Journaling helps you track your daily caloric intake versus how many calories you’re burning with each workout session. If you’re not sure how many calories are in a food or how many total calories your body needs each day, visit www.caloriecount.com or www. livestrong.com.

Consider maintenance an achievement Maintaining a healthy weight is a challenge in itself. A long-term plateau can be proof that you can maintain your weight and not regain those lost pounds. If you’re healthier, you sleep better, feel better, look better and have more energy, then maybe you’ve already achieved your goal. Perhaps it’s time to give yourself a pat on the back after all. HJ

October 2009

Gayle Pinn is the owner of Results Personal Training Studio. She has 10 years experience as a certified personal trainer.

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Detox Diets: Weight-Loss Wonders or Dietary Disasters? Written By Brandy Centolanza

A few years ago, when Adam Garrison of Williamsburg was looking to make a change in his habit of frequently dining out, a friend suggested a detox diet called “The Master Cleanse.” After doing some research, Garrison decided to try it. The diet called for ingesting only a liquid concoction of purified water, maple syrup, cayenne pepper and lemon juice for 10 days. “I would sip on it any time I got hungry or thirsty,” Garrison recalls. “It tasted like a spicy lemonade.” Though The Master Cleanse diet also recommends drinking an herbal laxative tea and salt water, usually requiring numerous trips to the bathroom, Garrison preferred not to take the diet to that extreme. He lasted eight days on the nofood diet and admits that the first few days were especially difficult. “Everything is screaming in you to get something to eat,” he says. But Garrison stuck with it, and he says he felt better in the end, so much so that he tried the diet again a year later, that time for 11 days. In the end, “the experience was worth it,” he says. “Some people will do it to meet some sort of weight goal, but I was looking at it more from a cleansing perspective, as a way to reboot the digestive system, so to speak.” Detox diets such as The Master Cleanse are growing in popularity, particularly in larger cities and among celebrities, though some dieticians and physi-

THE HEALTH JOURNAL

cians remain skeptical of the benefits. Julie Mitchell, a certified nutritionist and founder of The Nutrition and Wellness Center in Williamsburg, does believe in a purification diet, but only if it is done in a healthy way. She says external toxins such as air and water pollution, caffeine, certain medicines, chemicals in household cleaners, and preservatives (as well as internal toxins such as ammonia, carbon dioxide, and free radicals), can take a toll on the body. “When we get an overload of these toxins in our body, we can show symptoms such as a stuffy head, fatigue or difficulty sleeping, digestive problems, weight gain, [extreme] food cravings and foggy thinking,” Mitchell says. “We must become proactive in taking care of ourselves. We are what we eat, drink, think and do. We need to make healthy choices when it comes to all four of those things. We need to stop buying the foods and drinks that create havoc in our lives.” Avoiding food completely, however, is not the answer, notes Holly Hicks, a registered dietician and wellness programming coordinator for the Riverside Wellness and Fitness Center on the Peninsula. She neither supports nor would recommend a detox diet because of potential health risks. According to Hicks, “Detox diets, if done improperly or for too long, could result in nutritional deficiencies, particularly [in] protein, which may result in muscle tissue wasting—which, in turn, may decrease the body’s metabolic rate.”

October 2009

Instead of “a periodic ‘cleansing,’” Hicks recommends “a daily regimen of a balanced eating plan emphasizing whole grains, fruits and vegetables, which are high in fiber and keep the digestive tract in good working order.” As part of a balanced eating plan, she also recommends fermented dairy products such as yogurt and kefir, “which promote the good bacteria that reside

“Detox diets, if done improperly or for too long, could result in nutritional deficiencies, particularly in protein.” —Holly Hicks, registered dietician

in your [gastrointestinal] tract.” Additionally, she says, “whole grains feed the good bacteria into your system and promote regularity, resulting in a healthy digestive system.” Caroline Cassidy Fornshell, a dietetic intern at Sentara Norfolk General Hospital who is certified in adult weight management by the American Dietetic Association, agrees that fasting or liquid diets can be dangerous if done incorrectly. “Detox diets can be harmful when adhered to for a long period of time,” she says. “Short-term weight loss may be recognized but will most likely be gained back quickly like with other fad diets. Be wary of any diet promising results too good to be true. Some detox diets come with a big price tag, and the end results are unlikely to be worth the money.” HJ

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FEATURE

The Scoop on

Antioxidants Written By Brenda H. Welch

hen we turn on the television or radio, open up a newspaper or magazine, or dive into the abyss of the Internet, we are met with a constant stream of health experts advising us on what we should and should not do. There is some fundamental advice that is predominately agreed upon and accepted across the board: exercise, don’t smoke, visit a doctor regularly, and eat a well-balanced diet with plenty of fruits and vegetables. But among these clear-cut recommendations lurk others shrouded in shades of gray. Some of those guidelines involve antioxidants—that ubiquitous term that befuddles even the best of us.

What are antioxidants? According to the American Dietetic Association (ADA), the world’s largest organization of food and nutrition professionals, antioxidants are dietary substances, including nutrients such as beta carotene, vitamins C and E and selenium, which can prevent damage to the body’s cells or repair damage that has already been done. Antioxidants work by significantly slowing or preventing the oxidative process—or damage from oxygen— caused by substances called free radicals. This damage can lead to cell dysfunction and the onset of problems such as heart disease, diabetes and neurodegenerative disorders like Parkinson’s disease. Antioxidants may also improve immunity and lower a person’s risk for infection and cancer. The body produces a certain amount of antioxidants, but during times of 22

THE HEALTH JOURNAL

October 2009

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FEATURE

illness and extreme stress, the body needs more than it manufactures to be able to cope with the increased production of free radicals. According to medical oncologist Dr. Scott Kruger, who sees patients at the Hampton office of Virginia Oncology Associates, free radicals are a byproduct of normal metabolism; they form when oxygen collides with certain chemicals. The problem with free radicals, says Kruger, is “they play a part in the formation of cancer, heart disease, stroke and other diseases of aging.” Antioxidants like beta carotene, vitamins A, C and E, lycopene, lutein and selenium neutralize free radicals, Kruger explains. The process in humans is similar to stopping an apple from browning. Once an apple is cut, it normally begins to brown, but if it is dipped in orange juice, which contains vitamin C, it stays white. The ADA says antioxidants should come primarily from foods such as fruits and vegetables that contain not only the vitamins and minerals often found in supplements, but also other naturally occurring substances that may help protect people from chronic diseases.

Nutrition Studios in Virginia Beach, the answers to those questions are rooted in confusion. “There is so much conflicting information put forth by the media on what to eat and not eat, that I think many people are throwing their hands up in the air wondering who to trust,” says White, who is also a national spokesperson for the ADA. “Some of the no-carbohydrate diets forbid fruits and certain vegetables, while other diets say to only eat those [fruits and vegetables] that have a low glycemic value [producing only small fluctuations in blood glucose and insulin levels]. Each diet offers ‘scientific’ proof to back up what they are recommending, so people stray from or ignore the daily recommendations.” White also says that some people are intimidated by cooking vegetables and just don’t know how to put a healthy meal together. “We have people [who] come into the studio who have never eaten healthy in their life,” says White. “I show them a simplistic way of doing it, and they say, wow, it’s really not that hard—they just need

How much is enough? The Center for Nutrition Policy and Promotion (CNPP), an organization of the U.S. Department of Agriculture (USDA), recommends that people eat three to five servings of vegetables and two to four servings of fruit depending on age, weight and height (see www. MyPyramid.gov). And while this information is accessible to everyone with access to the Internet or to a health care provider, the USDA and Centers for Disease Control and Prevention (CDC) report that only 10 to 12 percent of Americans even come close to getting the recommended amounts of fruits and vegetables. This strikingly low percentage begs the questions—do people understand the health benefits of eating their fruits and vegetables, and if so, why aren’t they doing it? For Jim White, a registered dietitian and owner of Jim White Fitness and

Antioxidants: Where to find them Some of the better sources of antioxidants include: Beans—Small red beans and kidney, pinto, and black beans the right information and need to be shown how to put food together in the right combinations.” For Amy Petrow of Chesapeake, preparation time has always been a factor. “I intellectually understand the nutritional aspects of antioxidants and eating fruits and vegetables, but I’ve always gravitated toward eating more processed foods because they are just easier and less time-consuming to prepare,” says Petrow. As the mother of two daughters under the age of five, Petrow says she eats better now that she is a parent. “I’m not even sure what the current recommendations are exactly, but I know I’m eating more fruits and vegetables now because I want to set a good example for the girls,” says Petrow. “I make a point of offering various fruits and vegetables to them throughout the day, but it is tough to get them to eat the vegetables. I’ve resorted to pureeing carrots and cauliflower and hiding it in certain recipes to make sure they ingest it somehow.”

Eat your vegetables, Junior Create your own online cookbook using the healthy recipe database found on the CDC-sponsored Web site www.fruitsandveggiesmatter.gov. You’ll find recipes and instructions for preparing antioxidantrich fruits and vegetables, with dishes ranging from appetizers to desserts and everything in between.

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Many people seek out other ways to reap the benefits of antioxidants without spending time peeling, slicing and dicing their way through the produce section or coercing themselves or their children to eat foods they don’t prefer. Those are exactly the people that Holly Hicks likes to work with. As a registered dietician and the wellness programming coordinator at Riverside Wellness and Fitness CenterPeninsula, in Newport News, Hicks’ patients often admit that they just don’t like the taste of fruits and vegetables. “We recommend a balanced diet Continued on page 25

Berries—In the lead are blueberries, blackberries, raspberries, strawberries and cranberries. Beverages—Green tea may come to mind as a good source of antioxidants, but other beverages have high levels, too, including coffee, red wine and many fruit juices such as pomegranate. Chocolate—A piece of dark chocolate ranks as high or higher than most fruits and vegetables in terms of antioxidant content. Fruits—Many apple varieties (with peel) are high in antioxidants, as are avocados, cherries, green and red pears, fresh or dried plums, pineapple and kiwi. Grains—In general, oat-based products are highest in antioxidants. Herbs—These may be unexpected suppliers of antioxidants, but ground cloves, cinnamon, ginger, dried oregano leaf and turmeric powder are all good sources. Nuts—Walnuts, pistachios, pecans, hazelnuts and almonds are some of the top picks. Vegetables—Aim to include these in your diet: artichokes, spinach, red cabbage, red and white potatoes (with peel), sweet potatoes and broccoli. Although the effect of cooking on antioxidant levels varies by cooking method and vegetable, one study showed that cooking generally increased levels among select vegetables. Source: www.mayoclinic.org

THE HEALTH JOURNAL

October 2009

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FEATURE

Antioxidants Continued from page 23 rich in fruits and vegetables (at least four and a half cups of produce daily) along with whole grains to optimize a person’s intake of antioxidants,” says Hicks. “Some people think it will take too much time to prepare or that vegetables, in particular, don’t taste good. I love to take that challenge head-on.” Through Riverside’s acclaimed “Dietcise” program, Hicks and fellow registered dieticians

Resveratrol: Key to Long Life? Red wine is chock-full of antioxidants that may help prevent heart disease and other ailments by increasing HDL “good” cholesterol, protecting blood vessels and shielding arteries from damage. Red wine contains the antioxidants known as polyphenols, of which there are two types— flavanoids and non-flavanoids; the latter includes a key substance called resveratrol, which is found in the skin of most grapes.

Supplements—Magic marginal solutions?

pills

For those who choose to take supplements, research warns of the possibility that they actually may do more harm than good. In 2005, the American Medical Association released a report indicating that vitamin E tablets were linked to a great risk of heart failure. In 2008, the Cochrane Collabor-

“With all the information that is out there, it is very easy to get confused. I tell my patients to stick with what we know works.”

dant content and possibly due to other bio-active compounds.” Dr. Scott Kruger asserts that “The data is inconsistent; there are [just too] many studies with conflicting results. There are many unanswered questions. There are concerns that antioxidant supplements can interfere with current treatment approaches for cancer.” For this reason, he says, the National Cancer Institute and other groups are conducting several large-scale clinical trials looking at various antioxidants and their effects on disease. Kruger’s colleague Dr. John Paschold says he and fellow physicians always “encourage patients to become involved in those kinds of research studies.”

Take with caution

—Carrie Palamarchuck, registered dietician, Chesapeake Regional Medical Center

teach people how to not just lose excess weight but get healthier in the process. According to Hicks, “Learning to Animal studies suggest resveratrol may enjoy fruits and vegprevent or reverse age-related diseases etables and the variety such as obesity, diabetes and heart disof ways to easily preease. It could also be the answer to the pare them is just one so-called “French paradox”—the irony that the French, despite a diet rich in Brie and of the important topBordeaux, enjoy a lower incidence of heart ics that we teach and disease than Americans. demonstrate in the program.” Two Harvard scientists are so convinced Donald Hensrud, of resveratrol’s potential, in fact, that they an endocrinologist have sold their idea to GlaxoSmithKline and with the Mayo Clinic are currently exploring the possibility of a in Rochester, Minn., resveratrol “super pill” that could trigger says that as a bonus, a gene thought to be the body’s longevity switch. Their goal: extending the average foods high in antioxilifespan by as much as 10, 20 or 30 years. dants typically offer many other health benefits. These foods, mainly plant-based, are often high in fiber, protein and other vitamins and minerals and low in saturated fat and cholesterol. According to Dr. Phillip Snider, a family practitioner at Bon Secours Medical Associates in Virginia Beach, “Most of the experts who look at the role of antioxidants with health will fall back to food first—try to get people to eat at least five to nine servings of fruits and vegetables combined each day. But oftentimes a patient [will say] that that isn’t going to happen. That is when I look at how different supplements can help my patients.” To advertise, call 757-645-4475

ation—an international group of over 15,000 health care professionals who review the effects of health care interventions based on results of clinical trials and observational studies—evaluated 67 randomized controlled studies involving antioxidant supplements and issued a report showing that antioxidant supplements do not extend a person’s life, and in fact, some antioxidants (Vitamin A, Vitamin E and betacarotene) may shorten a person’s life. In January 2009, the Journal of the American Cancer Institute published a women’s cardiovascular study conducted at Harvard Medical School in Boston. During the study, 7,627 women who took beta carotene, vitamin C, vitamin E or a combination of supplements for an average of 9.4 years had no significant reductions in their risk of cancer. A study published in a May 2009 issue of Proceedings of the National Academy of Sciences showed that antioxidant supplementation blocks many of the beneficial effects of exercise on metabolism. According to the study, “Antioxidant use in type 2 diabetics has been linked to increased prevalence of hypertension, and use of antioxidant supplements has recently been proposed to increase overall mortality in the general population. Taken together, these previously published findings tentatively suggest that fruits and vegetables may exert health-promoting effects despite their antioxi

Regardless of the fuzzy data, many leading health organizations, including the USDA, CDC and National Institutes of Health (NIH) hold firm that antioxidant supplements can be beneficial for some individuals, if taken with care. And despite the negative publicity antioxidant supplements have received in recent years, Snider discourages ruling them out all together—though he stresses the importance of exercising caution to prevent harmful interactions. “You need to be aware that if you take one vitamin and separate it from natural consistency within other vitamins and take it at high doses, that doesn’t seem to be helpful in most cases, and sometimes it’s harmful,” he says. For Carrie Palamarchuck, a registered dietician with Chesapeake Regional Medical Center, the fact that supplements remove vitamins and nutrients from their naturally occurring environments is what has her steering clear of recommending supplements to her patients. “When you take a supplement instead of eating the actual fruits and vegetables, you are missing out on all the phytonutrients (chemical compounds occurring naturally in plants), fiber and other compounds that work synergistically to provide complete, well-rounded nutrition,” says Palamarchuck. “With all the information that is out there, it is very easy to get confused. I tell my patients to stick with what we know works, and that is to eat a healthy, well-balanced diet and get your antioxidants through food, not in a pill.” HJ

THE HEALTH JOURNAL

October 2009

health, but to treat our diseases. Health care costs account for about 16 percent of our gross national product, and according to the World Health Organization, we spend a larger portion of our gross national product than any other country in the world but rank 37 out of 191 countries in performance. Chronic diseases such as heart disease, cancer and diabetes are among the most common and costly; they are also the most preventable. Consider these statistics*: • Number of Americans at risk for heart disease due to high cholesterol 34 million • Number of Americans who have diabetes 21 million • Number of Americans over the age of 20 who are obese 72 million • Percentage of Americans who are either overweight or obese 60 to 70 percent • Number of Americans who smoke tobacco 43 million • Lifetime savings, per person, in health care costs following a sustained 10-percent weight loss $2,200 to $5,300

THE HEALTH JOURNAL

October 2009

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Dr. Christopher Burnham is a chiropractor and founder of Premier Health Chiropractic, located near Town Center of Virginia Beach. He provides non-surgical treatment of chronic or acute pain and injury. His practice offers free tours and health classes as well as complimentary massages daily.

a sliding scale with disease, infirmity and disability on one end and optimal function, vitality, and longevity on the other end. The decisions we make as individuals either move us closer to sickness, disease and death or closer to optimal health. Even if you do not have a cold or the flu or some other illness, you may be less than optimally healthy and at risk for acquiring a chronic illness. In the current model of health care delivery, prevention is focused on early detection and prompt treatment. For example, your insurance provider may label a cholesterol test or mammogram as “preventive” services. Early detection is important for patient outcomes, but it doesn’t prevent disease. All a test prevents is the condition silently worsening. Lifestyle choices like regular exercise, proper nutrition and smoking cessation prevent the onset of a condition. While this distinction may seem obvious, it clearly illustrates a major flaw in the delivery of our health care. While we do need these tests, the doctors who order them and the insurance companies that may cover them, our approach to health is inherently flawed when we place all the responsibility for our health on a system designed not to maintain our

overweight

hat is a pound of cure worth? This is just one of the many questions that must be considered as politicians and legislative bodies attempt to overhaul the nation’s health care system. However, one of the most crucial decisions that must be made is this: How much do we, as a society, value health—as the value we place on our health determines how much we are willing to allocate in energy, money and time required to attain it. According to Dorland’s Medical Dictionary, health is a state of mental, physical and social well-being and not merely the absence of disease. Imagine

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EXPERT OPINION

More obesity prevention, smoking cessation and stress reduction programs could go a long way toward reducing health care expenditures. So could building more sidewalks and bike lanes and providing more funding for nutrition education programs in workplaces and schools. How about providing government subsidies or loan forgiveness programs for health care providers who become government-certified health promoters? Who better to help an individual maintain optimal health than an individual’s health care provider? Spend an ounce, lose a pound. All in all, however, it is unrealistic to expect any sort of legislative change to our health care system to bring us optimal health. Perhaps we, as a society, should take the responsibility of our health into our own hands. Talk to your doctor before starting any new exercise program or diet, and learn more about simple, proactive lifestyle changes that can positively impact your health. The next step? Encourage friends and family to do the same. HJ

Sources: Centers for Disease Control and *Prevention, American Heart Association, American Diabetes Association

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ADDICTION MEDICINE

Diprivan Abuse Rare But Deadly In the wake of the Los Angeles coroner’s confirmation that pop star Michael Jackson died from a lethal dose of the surgical anesthetic Diprivan (propofol), Dr. Omar Manejwala, addictions expert at The William J. Farley Center/Williamsburg Place and one of few U.S. physicians specializing in Diprivan abuse and addiction, shares some details about this potent narcotic.

Q. What is Diprivan (propofol)? A. Propofol (sold by AstraZeneca as Diprivan) is an intravenous sedative medication that is used both for medical procedures (such as surgeries or colonoscopies) and for nonprocedural sedation (for example, calming a patient who is extremely agitated when admitted to a hospital’s intensive care unit, or ICU). Often described as “milk of amnesia” or “milk of the ICU,” propofol has been around since the 1980s. Many practitioners prefer to use it because of its rapid onset; they also find it easy to carefully titrate doses and find that patients recover quickly from the medication’s sedative effect. Propofol has a history of being safe and effective when used appropriately. Q. What is Diprivan abuse/ addiction? A. When Diprivan was first being used in hospitals, practitioners generally did not think people would be able to abuse it. In fact, it isn’t really controlled or regulated like other powerful intravenous (IV) narcotics such as fentanyl and sufentanil. That’s not to say that anyone can access the drug, but the strict monitoring seen with most IV narcotics is not generally applied to Diprivan. Research confirms, however, that people can abuse Diprivan, and people can develop an addiction to it. Animal research shows that Diprivan increases brain concentrations of the neurotransmitter dopamine in the nucleus accum-

bens (a cluster of neurons and a key player in the brain’s reward circuit)—a finding present in all other addictions. Q. How does Diprivan produce a “high” if it lasts such a short time and causes amnesia? A. Often when I discuss Diprivan abuse with colleagues, their first reaction is usually, “Are you kidding me…Diprivan? Why would anyone want to do that?” With addiction, people more frequently are trying to avoid a feeling than to achieve one. Many addicts describe their own compulsive use as “just trying to feel normal.” Patients using Diprivan often describe a short-lived sense of relief that is so rewarding that, when it wears off, they try again and again to re-achieve that state.

induced insomnia. Patients I’ve treated who have a history of Diprivan abuse often self-administered the medication dozens of times in a single day. And most, not all, with Diprivan addiction (usage beyond recreational abuse) had a history of significant trauma, usually (but not always) sexual trauma or molestation. Some have suggested that if Diprivan was controlled or regulated more strictly, there would be less of a problem with abuse and addiction. But even the most strictly regulated intoxicants are abused. One thing is absolutely clear: regulation alone will not solve the problem. Education and raising awareness to promote prevention, and advocacy and treatment for those who abuse Diprivan or develop an addiction, must be the mainstays of eliminating these disorders. HJ

Often when I discuss Diprivan abuse with colleagues, their first reaction is usually, “Are you kidding me?” —Dr. Omar Manejwala

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THE HEALTH JOURNAL

October 2009

PREVENTION

Staying Healthy This Flu Season Helpful Tips to Access Resources for Seasonal & H1N1 Flu Written by Terrina Thomas

No one wants to get sick. What can you do to stay healthy this flu season, and where should you go for accurate and timely information on the flu? Below are answers to some frequently asked questions about the flu.

Take everyday actions to stay healthy. To protect yourself from getting either type of the flu:

Q: What is the difference between seasonal flu and H1N1 flu (swine flu)? A: Influenza (seasonal flu) is a contagious respiratory illness caused by viruses that can cause mild to severe illness, and at times can be fatal. According to the Centers for Disease Control and Prevention (CDC), the best way to prevent seasonal flu is to get a seasonal flu shot every year. This year’s H1N1 (swine flu) is a new flu virus which requires a new vaccine. H1N1 flu was first detected in people in the United States in April 2009. This virus spreads from person to person similar to the way the seasonal flu spreads, carried in the airborne droplets caused by coughs and sneezes. It can also be picked up from contaminated surfaces, and germs can be transferred from hands to eyes, nose or mouth. The seasonal flu shot does not protect against H1N1 flu. Q: Who should receive the H1N1 flu shot? A: According to the CDC and its advisors, high-risk people should be first in line for the 2009 H1N1 vaccine when it’s available. These groups include: Pregnant women (because they are at higher risk of flu-related complications); caregivers for children younger than six months of age (because infants are at high risk of complications and cannot be vaccinated); health care and emergency medical services personnel (because they are a potential source of infection for vulnerable patients, and because increased absenteeism in this population could reduce health care system capacity); children ages six months through 18 years (because we have seen many cases of 2009 H1N1 flu in children, and they are in close contact with each other in school and day care settings, increasing the likelihood of disease spreading); young adults 19 through 24 years of age (because we have seen many cases of novel H1N1 flu in these healthy young adults, they

THE HEALTH JOURNAL

often live, work and study in close proximity, and they are a frequently mobile population); and anyone 25 through 64 years of age who has health conditions associated with higher risk of complications from flu. Only 30 percent of the elderly population is at risk for getting sick because most have some immunity from exposure to the 1950s swine flu.

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it, and then immediately wash your hands.

Q: Where can I get vaccinated? A: The seasonal flu vaccine is available now through physician offices and pharmacy chains across Hampton Roads. Simply check with your physician or pharmacist for availability prior to seeking the vaccine. A 2009 H1N1 vaccine is in production and is expected to be available to the public this month. The Virginia Department of Health expects to distribute the new vaccine in partnership with health care providers, schools and settings like pharmacies and workplaces.

• Stay home if you get sick. Limit contact with others to keep from infecting them. Flu is thought to spread mainly person to person through the coughing or sneezing of infected people.

Q: How much does it cost to get vaccinated? A: Most health insurance plans cover the cost of the seasonal flu under the health and prevention portion of the plan. However, some co-pays may apply, depending on the type of plan you have. Check with your insurance carrier before you schedule a vaccination so you can anticipate your out-ofpocket expenses. Pharmacy charges for the seasonal flu vaccine range from $15 to $40 per vaccine. According to the CDC, there will be no charge to get vaccinated for the 2009 H1N1 flu. More specifics about the vaccine’s availability are expected to come from the Virginia Department of Health early this month. HJ

Terrina Thomas is director of community health and prevention at Optima Health, a Virginia-based health plan with more than 415,000 members, nationally recognized for its quality, service and innovative programs.

• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. • Avoid touching the eyes, nose or mouth. Germs spread that way.

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the

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We’ve done our best to include every health-related practice or service in your area. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hot-line Toll-Free: (800) 784-2433 National Suicide Prevention Hot-line Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222

Allergists & ENT Allergy & Asthma of Oyster Point 11835 Fishing Point Dr., Ste. 107 Newport News (757) 873-3882 Leo R. Carter, MD 2115 Executive Drive, Ste. 2-D Hampton (757) 827-1351 ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505 Hampton Roads ENT-Allergy 901 Enterprise Pkwy., Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Virginia Adult & Pediatric Allergy & Asthma 11747 Jefferson Ave., Ste. 6-C Newport News (757) 596-8025

Assisted Care & Senior Living Agape Home for Adults 1112 29th St. Newport News (757) 928-1999 The Chesapeake 955 Harpersville Road Newport News (757) 223-1600 Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953 Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305

Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032

Japhet D. LeGrant, DC 950 Big Bethel Rd. Hampton (757) 825-8010

Family Care 802 Old Oyster Point Rd. Newport News (757) 595-2510

Port Warwick Dental Arts 251 Nat Turner Blvd. Newport News (757) 223-9270

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444

Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881

Manadero Chiropractic 727 J. Clyde Morris Blvd., Ste. B Newport News (757) 595-8433

David L. Forrest, DDS 729 Thimble Shoals Blvd., Bldg. 7-A Newport News (757) 873-8800

Gary A. Riggs, Jr., DMD 1610-B Aberdeen Rd. Hampton (757) 838-3830

Oyster Point Radiology, Inc. 11835 Fishing Point Dr., Ste. 201 Newport News (757) 873-8823

Scott E. Olney, DC 1056 Harpersville Rd. Newport News (757) 596-9696

Geary Family Dentistry, PLLC 105 Terrabonne Rd. Yorktown (757) 898-4661

Loretta Rubenstein, DDS 12725 McManus Blvd. Newport News (757) 874-0990

Gentle Caring Dentistry 703 Thimble Shoals Blvd., Ste. C-3 Newport News (757) 594-9005

Jon L. Scott, DDS 1186 Big Bethel Rd. Hampton (757) 825-6280

Riverside Diagnostic & Breast Center 895 Middle Ground Blvd., Ste. 104 Newport News (757) 594-3900 850 Enterprise Pkwy., Ste. 1500 Hampton (757) 251-7800

Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530

John Shepherd Jr., DDS Scott J. Golrich, DMD 4030 Geo. Wash. Mem. Hwy. Yorktown (757) 898-4646

Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182

Perry L. Showalter, DDS 5324 Geo. Washington Mem. Hwy. Grafton (757) 898-0822

Clifford T. Goodwin, DDS 12610 Patrick Henry Dr., Ste. G Newport News (757) 930-3744

Jeffrey G. Sotack, DDS 2111 Hartford Rd. Hampton (757) 826-9595

Barry Lee Green, DMD 716 Denbigh Blvd., Ste. C-2 Newport News (757) 874-5455

W. Mark Stall, DDS 211 Hartford Rd. Hampton (757) 851-5939

Hampton Roads Oral & Maxillofacial Surgery 901 Enterprise Pkwy., Ste. 100 Hampton (757) 825-8355 716 Denbigh Blvd., Ste. C-1 Newport News (757) 874-6501

Tabb Family Denistry 106 Yorktown Road Yorktown (757) 867-9000

Endocrinology

DonnaMaria Tapp-Reid, DDS 2202-E Executive Drive Hampton (757) 838-8855

Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259

Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334

Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300

Riverside PACE (Program of All-Inclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977 St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500

Pahnke Chiropractic & Wellness Care 755-A Thimble Shoals Blvd. Newport News (757) 873-2225

Sturdevant Lodge Elite Elder Care 11 San Jose Drive Newport News (757) 660-7703

Poquoson Chiropractic Clinic 370-A Wythe Creek Rd. Poquoson (757) 868-7709

Sentara Nursing & Rehabilitation Center 2230 Executive Dr. Hampton (757) 224-2230

Rebound Chiropractic 11790 Jefferson Ave., Ste. 205 Newport News (757) 873-8701

Shelton on the Bay 1300 N. Mallory St. Hampton (757) 723-6669

Cardiology Cardiovascular Center of Hampton Roads 11803 Jefferson Ave., Ste. 110 Newport News (757) 873-0360 500 J. Clyde Morris Blvd. Newport News (757) 594-2074 12720 McManus Blvd., Ste. 307 Newport News (757) 872-0186 4000 Coliseum Dr., Ste. 210 Hampton (757) 827-2490 Hampton Roads Cardiology 4000 Coliseum Drive, Ste. 100 Hampton (757) 827-2200 Allen B. Nichols, MD 12720 McManus Blvd., Ste. 201 Newport News (757) 875-5332 Tidewater Heart Institute 2115 Executive Dr., Ste. 1-B Hampton (757) 825-4260 Riverside Heart Specialists 2112-B Hartford Rd. Hampton (757) 827-7754

The Devonshire 2220 Executive Dr. Hampton (757) 827-7100

Cardiovascular & Thoracic Surgeons

Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335

Tidewater Thoracic & Cardiovascular Surgery 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511

Eden Court 1034 Topping Lane Hampton (757) 826-5415 Golden Living Center/Bayside of Poquoson 1 Vantage Dr. Poquoson (757) 868-9960 Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701 Heritage Commons 236 Commons Way Williamsburg (888) 711-6775 Hidenwood Retirement Community 50 Wellesley Rd. Newport News (757) 930-1075 Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010 James River Convalescent & Rehabilitation Center 540 Aberthaw Ave. Newport News (757) 595-2273

Chiropractic & Acupuncture Abbott Family Chiropractic 2021-A Cunningham Dr., Ste. 3 Hampton (757) 838-8820 A Family Chiropractic Center 121 Hampton Hwy. Yorktown (757) 867-7787 Almloff Acupuncture 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 596-8451 Atlas Specific Chiropractic 640 Denbigh Blvd., Suite 4 Newport News (757) 283-6929 Back in Action 11830-C Canon Blvd. Newport News (757) 873-7786 Bayview Chiropractic Clinic 1204 E. Pembroke Ave. Hampton (757) 723-1496

Keswick Place at Warwick Forest 866 Denbigh Blvd. Newport News (757) 886-2000

Charney Chiropractic Back Rehabilitation & Wellness 11842 Rock Landing Dr., Ste. 110 Newport News (757) 873-9580

Mayfair House 1030 Topping Lane Hampton (757) 826-3728

Chiropractic Wellness & Rehabilitation 716-A Thimble Shoals Blvd. Newport News (757) 873-4131

Mennowood Retirement Community 13030 Warwick Blvd. Newport News (757) 249-0355 Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905 The Newport 11141 Warwick Blvd. Newport News (757) 595-3733

Optimum Chiropractic, PC 610 Thimble Shoals Blvd., Ste 202-A Newport News (757) 594-9412

Burt H. Rubin, DC 183 Woodland Road Hampton (757) 723-3893 Spine Care of Tidewater, PC 7216 Executive Dr., Ste. A Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483 Kevin S. Steele, DC 183 Woodland Rd. Hampton (757) 723-1899 Tidewater Clinic of Chiropractic 12715 Warwick Blvd., Ste. 1 Newport News (757) 890-2030 York County Chiropractic 121-G Grafton Station Lane Yorktown (757) 989-5393

Dentistry & Oral Health David J. Alexander, DDS 2019 Cunningham Dr., Ste. 314 Hampton (757) 838-2201 Robert M. Alexander, DDS 105 Terrabonne Rd. Yorktown (757) 898-4625 Mitchell A. Avent, DDS Mark A. Huie, DDS 12725 McManus Blvd., Bldg. 1, Ste. A Newport News (757) 874-0660 D. Mark Babcock, DMD 640 Denbigh Blvd., Ste. 1 Newport News (757) 874-4420 Jeff W. Bass, DDS 4326 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788 Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155 Walton L. Bolger, DMD 12695 McManus Blvd., Bldg. 4/Ste. A Newport News (757) 877-1999 Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919 Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765 Thomas W. Butterfoss, DMD, PC Jennifer L. Barton Butterfoss, DDS, MS 2111 Hartford Rd. Hampton (757) 838-3400 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-5448 Henry A. Cathey 710 Denbigh Blvd., Ste. 1-C Newport News (757) 874-5511 City Center Dental Care 709 Mobjack Place Newport News (757) 873-3001 Michael Covaney, DDS 760-E Pilot House Dr. Newport News (757) 596-6850

Christopher Connolly, DC 370 Wythe Creek Rd., Ste. A Poquoson (757) 868-3407

Ray A. Dail, DDS 716 Denbigh Blvd., Ste. A-4 Newport News (757) 872-7777

Kevin L. Conover, DC 10866 Warwick Blvd. Newport News (757) 591-8834

G. Curtis Dailey, DDS 534 Wythe Creek Rd. Poquoson (757) 868-6091 2118 Executive Dr. Hampton (757) 826-5075

Denbigh Chiropractic 13784-B Warwick Blvd. Newport News (757) 877-3770

William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152 Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667 Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577 Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651 Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530 Guy G. Levy, DDS Mayer G. Levy, DDS 3120 Kiln Creek Blvd. Yorktown (757) 877-9281 Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304 Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300 Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800 John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210 Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979 Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975 Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411 George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617 K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832 Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200

Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511 Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322

TPMG Imaging Center 860 Omni Blvd., Ste. 102 Newport News (757) 873-0848 Unique Imaging Solutions, Inc. 2113 Hartford Rd., Ste. B Hampton (757) 722-0223

Riverside Endocrinology, Diabetes & Metabolism Center 11844-B Rock Landing Drive Newport News (757) 534-5050

Family Practice Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102

J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407

Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979

Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990

Nancy Ayers, MD 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-4441

Dermatology

Tammy Beavers, MD 1405-K Kiln Creek Pkwy. Newport News (757) 872-7200 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588

Associates in Dermatology 17 Manhattan Sq. Hampton (757) 838-8030 Bruce E. Fuller, MD 12695 McManus Blvd., Ste. 3-B Newport News (757) 872-7787 Oyster Point Dermatology 895 Middle Ground Blvd., Ste. 302 Newport News (757) 873-0161

Leo C. Bowers, MD 26 Wine Street Hampton (757) 728-1100 Bruton Avenue Family Practice 12 Bruton Avenue Newport News (757) 594-4111

Pariser Dermatology Specialists 11842 Rock Landing Dr., Ste. 120 Newport News (757) 595-8816

Alvin Bryant, MD 2000 Kecoughtan Rd. Hampton (757) 380-8603

Quarles Dermatology 304-A Marcella Rd. Hampton (757) 827-3046

Harold E. Cloud Jr., MD 2726 W. Mercury Blvd. Hampton (757) 825-1500

Schumann Dermatology Group One Park Place 5309 Discovery Park Blvd. Williamsburg (757) 564-1200

Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420

William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320 Ken J. Tompkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440 Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626

Diagnostic Imaging

Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091 Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822 Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273

Breast Diagnostic Center 704 Thimble Shoals Blvd., Ste. 600 Newport News (757) 595-8650

Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001

Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714

48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709

William Pearlman, DDS 1959 E. Pembroke Ave. Hampton (757) 723-6565

Dorothy Hoefer Breast Imaging Center 1031 Loftis Blvd. Newport News (757) 595-5474

Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141

Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655 Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921

James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810

Roslind McCoy-Sibley 2204-C Executive Dr. Hampton (757) 838-1100

Northampton Convalescent & Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922

Venisse Georgalas, DC 702-A Middle Ground Blvd. Newport News (757) 591-9390

Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366

Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711

Mid-Atlantic Imaging Centers 750 McGuire Place, Ste. A Newport News (757) 223-5059

Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675

Gunderman Chiropractic & Wellness Center 5701 Geo. Washington Mem. Hwy. Yorktown (757) 874-5666

Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890

Jon E. Piche, DDS 4310 Geo. Washington Mem. Hwy. Yorktown (757) 874-1777

Open Multi-positional MRI Center 730 Thimble Shoals Blvd., Ste. 120 Newport News (757) 926-4351

To advertise, call 757-645-4475

Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233

Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200

Egan Family Chiropractic 1078 Big Bethel Road Hampton (757) 838-2500

Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880

Tidewater Diagnostic Imaging 3000 Coliseum Drive Hampton (757) 873-0848 11803 Jefferson Ave. Newport News (757) 594-1803 3630 Geo. Wash. Mem. Hwy. Yorktown (757) 867-6101

THE HEALTH JOURNAL

C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066 Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335 J. Matthew Halverson, DO, FAAFP 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588

October 2009

Healthy Family Partnerships 100 Old Hampton Ln. Hampton (757) 727-1300

Hampton Senior Center 3501 Kecoughtan Rd. Hampton (757) 727-1601

Maxim Healthcare 739 Thimble Shoals Blvd., Ste. 503 Newport News (757) 595-8822

Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602

HeartSenter Yoga 111 Manassas Loop Yorktown (757) 236-5603

James River Family Practice 12420 Warwick Blvd., Ste. 7B Newport News (757) 599-5588

Jazzercise Oyster Point Center 882 J. Clyde Morris Blvd. Newport News (757) 594-9266

Health Departments

Lawrence C. Hyman, MD 2114-A Hartford Rd. Hampton (757) 826-3460

Metabolic Balance Hilltop Medical Center 1788 Republic Rd., Ste. 202 Virginia Beach (757) 228-1241

Daniel Lee Medical Group, PC 716 Denbigh Blvd., Ste. C-3 Newport News (757) 243-2377 Magruder Primary Care 850 Enterprise Pkwy. Hampton (757) 637-7600 John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969 Mercury West Medical Center 2148 W. Mercury Blvd. Hampton (757) 827-1940 Old Hampton Family Practice 200 Eaton Street Hampton (757) 726-5000

Northampton Community Center 1435-A Todds Ln. Hampton (757) 825-4805 North Phoebus Community Ctr. 249 West Chamberlin Ave. Hampton (757) 727-1160 Old Hampton Community Center 201 Lincoln St. Hampton (757) 727-1123 Peninsula Boxing Academy 467-D Denbigh Blvd. Newport News (757) 872 -9832

Hospice & Home Care Amour Home Care, Inc. 3114 Chestnut Ave. Newport News (757) 245-5100

Hampton University Hampton (757) 727-5328

Bayada Nurses 7151 Richmond Rd. Williamsburg (757) 565-5400

Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300 Thomas Nelson Community College 99 Thomas Nelson Dr. Hampton (757) 825-2700

Health Products & Equipment

MedExpress Urgent Care 4740-A Geo. Washington Mem. Hwy. Yorktown (757) 890-6339 12997 Warwick Blvd. Newport News (757) 369-9446

Amedisys Home Health Services 1 Enterprise Pkwy., Ste. 120 Hampton (757) 223-5424

Hampton Health District 3130 Victoria Blvd. Hampton (757) 727-1172

Medical Careers Institute 100 Omni Blvd., Ste. 200 Newport News (866) 708-6174

Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608

Patient First 611 Denbigh Blvd. Newport News (757) 283-8300 Peninsula Institute for Community Health 4714 Marshall Ave. Newport News (757) 380-8709 15425 Warwick Blvd., Ste. H Newport News (757) 874-8400

Beacon Health Care 710 Denbigh Blvd., Bldg. 7, Ste. A Newport News (757) 833-0430

Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000

Bon Secours Home Care & Hospice 2 Bernadine Drive Newport News (757) 886-6000

Sentara Careplex Hospital 3000 Coliseum Drive Hampton (757) 736-1000

Care Advantage 12528 Warwick Blvd., Unit E Newport News (757) 595-9676

Sentara Port Warwick Medical Arts 1031 Loftis Blvd. Newport News (757) 736-9810

Comfort Keepers 11847 Canon Blvd., Ste. 3 Newport News (757) 766-2311

Sentara Urgent Care 747 J. Clyde Morris Blvd. Newport News (757) 599-6117

Pittman’s Medical Transport 164 Winchester Dr. Hampton (757) 825-2605 Toll-Free (800) 322-3451 Riverside Goldencare 5033 Geo. Washington Mem. Hwy., Ste. B Yorktown (757) 856-7030

Nephrology & Renal Health DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585 Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090 Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125 Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469

Personal Training Associates On the Square (Port Warwick) Newport News (757) 599-5999

Bike Beat 120 Ottis Street, Ste. 118 Newport News (757) 833-0096

Concordia Private Care 729 Thimble Shoals Blvd. Newport News (757) 873-1966

Piyo Pilates Studio 101 Nat Turner Blvd. Newport News (757) 218-5505

Conte's Bicycle & Fitness 9913 Warwick Blvd. Newport News (757) 595-1333

Elite Healthcare 12388 Warwick Blvd., Ste. 306-C Newport News (757) 926-4641

Riverside Wellness & Fitness Centers 12650 Jefferson Ave. Newport News (757) 875-7525

Port Warwick Medical Assoc. 11803 Jefferson Ave., Ste. 100 Newport News (757) 594-1870

Food Herbs & More 2821 Denbigh Blvd. Yorktown (757) 898-0100

Family Centered Resources 11847 Canon Blvd., Ste. 12 Newport News (757) 596-3941

Riverside Kettlebells Yorktown (757) 645-7586

Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073

Sentara Center for Health & Fitness 4001 Coliseum Drive Hampton (866) 760-2658

Freewheel Bicycle Shop 12440 Warwick Blvd. Newport News (757) 596-6320

Gentle Care, Inc. 751 Thimble Shoals Blvd., Ste. J Newport News (757) 873-4555

Elise Fee 11847 Canon Blvd., Ste. 8 Newport News (757) 812-1653 100 Bridge St., Ste. D Hampton (757) 812-1653

Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800

Total Fitness 6120 Jefferson Ave. Newport News (757) 827-0629

General Nutrition Center 605 Newmarket Dr. Hampton (757) 838-5930 23 Town Center Way Newport News (757) 896-3794

Heartland Hospice 11835 Fishing Point Dr., Ste. 101 Newport News (757) 594-8215

Hampton Roads Hypnosis & Meditation 100 Bridge Street, Ste. D Hampton (757) 968-7365

Hampton Roads Neuropsychology 739 Diligence Drive, Ste. 704 Newport News (757) 498-9585

Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012

Traveling Fitness for Women Hampton - Newport News (757) 593-5912

Granma T’s 4161 William Styron Square N. Newport News (757) 594-9868

Home Care Alternatives 12388 Warwick Blvd., Ste. 301-D Newport News (757) 236-5062

Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450

West Hampton Community Center 1638 Briarfield Rd. Hampton (757) 896-4687

Health Haven 12452 Warwick Blvd. Newport News (757) 595-6634

Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090

Susan C. Nicholson, PhD, LCSW Newport News (757) 873-2307

Marsha Lewis, PhD Lisa Newman, PsyD Mona L. Tiernan, PsyD 245 Chesapeake Ave. Newport News (757) 928-8340

YMCA 7827 Warwick Blvd. Newport News (757) 245-0047 101 Long Green Blvd. Yorktown (757) 867-3300 1800 W. Mercury Blvd. Hampton (757) 826-6018 1322 LaSalle Ave. Hampton (757) 722-9044

Health Trail Natural Foods 10848 Warwick Blvd. Newport News (757) 596-8018

Oyster Point Family Practice 704 Thimble Shoals Blvd., Ste. 700 Newport News (757) 873-2000 Patriot Primary Care 2855 Denbigh Blvd. Grafton (757) 968-5700

Suburban Family Practice 858 J. Clyde Morris Blvd. Newport News (757) 594-4343 TPMG/Denbigh Family Medicine 13347 Warwick Blvd. Newport News (757) 877-0214 TPMG of Grafton 101-A York Crossing Grafton (757) 898-7737

The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404 Med Emporium 629 Pilot House Dr. Newport News (757) 434-5777

TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992

Gastroenterology

TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880

Colonial Gastroenterology 11803 Jefferson Ave., Ste. 230 Newport News (757) 534-7701

TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755

Gastroenterology Specialists 410-A Marcella Rd. Hampton (757) 826-6539

TPMG of Yorktown 307 Cook Road Yorktown (757) 898-7261

Hampton Roads Gastroenterology 501 Medical Drive Hampton (757) 826-3434

Victoria Family Practice 3212-B Hampton Hwy. Yorktown (757) 867-6160

Peninsula Gastroenterology 101 Philip Roth Street, Ste. 5-A Newport News (757) 599-6333

The Village Doctor 10222 Warwick Blvd. Newport News (757) 223-0124

Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1803

Hearing & Audiology

Warwick Primary Care 4032-A Campbell Road Newport News (757) 534-5600

TPMG Gastroenterology 860 Omni Blvd., Ste. 301-A Newport News (757) 240-2700

Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932

Fitness & Weight Management

General Surgery

ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505

Bally Total Fitness 12555 Hornsby Lane Newport News (757) 249-1315 Body-in-Balance 12482-A Warwick Blvd. Newport News (757) 715-6906 Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880 Curves for Women 5336 Geo. Washington Mem. Hwy. Grafton (757) 898-8300 3835 Kecoughtan Rd. Hampton (757) 723-3600 1814-A Todds Lane Hampton (757) 265-9200 Willow Oaks Village Square 227 Fox Hill Rd. Hampton (757) 851-5800 555 Denbigh Blvd. Newport News (757) 872-8720 328 Oyster Point Plaza Newport News (757) 249-9300 10860 Warwick Center Newport News (757) 596-2121 477-C Wythe Creek Rd. Poquoson (757) 868-1488 3301 Hampton Hwy. Yorktown (757) 867-7150 Fitbody/Strongbody 735 Thimble Shoals Blvd., Ste. 120 Newport News (757) 874-3488 Fyzique Fitness Center 8100-F Geo. Washington Mem. Hwy. Yorktown (757) 283-5303 Gold’s Gym 815 Middle Ground Blvd. Newport News (757) 599-4653

Dominion Surgical 4000 Coliseum Dr. Ste. 320 Hampton (757) 827-2202 Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717 Peninsula Surgical & Trauma Services 500 J. Clyde Morris Blvd., Ste. 601 Newport News (757) 534-5300 Port Warwick Surgery 11803 Jefferson Ave., Ste. 250 Newport News (757) 873-0050 Riverside Hampton Surgery Center 850 Enterprise Pkwy., Ste. 100 Hampton (757) 251-1077 TPMG - General Surgery 860 Omni Blvd., Ste. 204 Newport News (757) 874-1077 Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572

Hand Surgery Robert M. Campolattaro, MD Nicholas A. Smerlis, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 827-2480

Health Careers Riverside School of Health Careers 316 Main Street Newport News (757) 240-2200

THE HEALTH JOURNAL

Riverside Lifeline 5033-B Geo. Wash. Mem. Hwy., Ste. C Yorktown (757) 856-7030 Smoothie King 2040 Coliseum Dr., Ste. 13-A Hampton (757) 262-1588 Virginia Home Medical 11842 Canon Blvd. Newport News (757) 873-1700 The Vitamin Shoppe 12266 Jefferson Ave. Newport News (757) 249-3697

Hampton Roads ENT-Allergy 901 Enterprise Parkway, Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665 Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794 Sentara Careplex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528

Hearing Aids Audibel Hearing Aid Center 11747 Jefferson Ave., Ste. 6-A Newport News (757) 595-2005 Beach Hearing Aid Centers 11745 Jefferson Ave., Ste. 7 Newport News (757) 595-2005 Beltone-Ledford Audiology & Hearing Aid Center 727-F J. Clyde Morris Blvd. Newport News (757) 596-2113 2115 Executive Dr., Ste. 2-B Hampton (757) 896-3989

Hypnosis Ageless Balance Hypnotherapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838

Infectious Disease

Home Instead Senior Care 555 Denbigh Blvd., Ste. B Newport News (757) 886-1230

Stephen L. Green, MD 2112 Executive Dr. Hampton (757) 838-8677

Hope in Home Care Skilled Care Division 11835 Rock Landing Dr. Newport News (757) 873-3410

Oyster Point Medical Specialists 11747 Jefferson Ave., Ste. 4-C Newport News (757) 596-7115

Hope in Home Care 11828 Canon Blvd. Newport News (757) 873-0030

Riverside Medical Specialists 12420 Warwick Blvd., Bldg. 3, Ste. B Newport News (757) 594-2081

Hospice Community Care 1064 Loftis Blvd., Suite C-2 Newport News (757) 594-0288

Internal Medicine

Hospice of Virginia Hampton Roads (800) 501-0451

Denbigh Internal Medicine 1000 Old Denbigh Blvd. Newport News (757) 872-7003

Immediate Care Assisted Living 66 West Mercury Blvd. Hampton (757) 838-0900

Melvin G. J. Green, MD 4001 Coliseum Dr., Ste. 300. Hampton (757) 827-2030

Interim Healthcare 610 Thimble Shoals Blvd., Ste. 303-B Newport News (757) 873-3313

Hannibal E. Howell, MD 55 E. Tyler St. Hampton (757) 723-2674

Lillies in the Valley Private Duty 11747 Jefferson Ave.. Ste. 6-B Newport News (757) 873-0711

Internal Medicine 716 Denbigh Blvd., Ste. C-4 Newport News (757) 872-9808

Maxim Healthcare Services 739 Thimble Shoals Blvd., Suite 503 Newport News (757) 595-8822

Melvin R. Johnson, MD 3451 Victoria Blvd. Hampton (757) 723-9380

Nurses 4 You, Inc. 4112 Geo. Washington Mem. Hwy., Ste. 3 Yorktown (757) 833-3200

Robert N. Lowe, MD 2501-A Marshall Ave. Newport News (757) 247-3910

Peninsula Pharmacy Home Infustion Services 11833 Canon Blvd., Ste. 114 Newport News (757) 594-3944

Frank E. Medford, MD 11030 Warwick Blvd. Newport News (757) 595-0908

Personal Touch Home Care & Hospice of Va., Inc. 732 Thimble Shoals Blvd., Ste. 203 Newport News (757) 595-8005

Hoskote S. Nagraj, MD 12695 McManus Blvd., Ste. 1-A Newport News (757) 874-1337 Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800

Riverside Home Care 856 J. Clyde Morris Blvd., Ste. C Newport News (757) 594-5600

Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891

Riverside Hospice 12420 Warwick Blvd., Ste. 7-D Newport News (757) 594-2745

Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431

Riverside Lifeline 5033 Geo. Washington Mem. Hwy., Ste. C Yorktown (757) 856-7030

Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920

Sentara Home Care Services 2713-G Magruder Blvd. Hampton (757) 766-2600

Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011

Tama Home Health Care Services 600 Thimble Shoals Blvd., Ste. 350 Newport News (757) 873-3315

TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794

Visiting Angels Tidewater 12388-203 Warwick Blvd. Newport News (757) 599-4145

Hospitals & Clinics

Costco Hearing Aid Center 12121 Jefferson Ave. Newport News (757) 746-2031

BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000

Hearing Health Care Center 111 Cybernetics Way, Ste. 220 Yorktown (757) 206-1900

Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000

Miracle Ear 100 Newmarket Fair Newport News (757) 825-9477

I & O Medical Center 530 Aberdeen Road Hampton (757) 825-1100

October 2009

Medical Transportation Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090 LogisiCare Toll-Free (866) 386-8331 Peninsula Agency on Aging Newport News (757) 873-0541

Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090 Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009

Neuropsychology Terry J. Gingras, PhD 710 Denbigh Blvd., Ste. 6-B Newport News (757) 833-7107

Neuropsychology Associates of Hampton Roads 708 Mobjack Place Newport News (757) 873-1958

Neurology & Neurosurgery Hampton Roads Neurology 500 J. Clyde Morris Blvd. Newport News (757) 594-2767 850 Enterprise Pkwy., Ste. 1400 Hampton (757) 637-7500 Hampton Roads Neurosurgical & Spine Specialists 730 Thimble Shoals Blvd., Ste. 110 Newport News (757) 595-7608 Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797 Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266 Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180 Tidewater Neurologists & Sleep Disorder Specialists 2115 Executive Drive Ste. 5-D Hampton (757) 262-0390 606 Denbigh Blvd., Ste. 105 Newport News (757) 989-8942

Non-Profit Organizations Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 Alzheimer’s Association Southeastern VA Chapter 213 McLaws Circle, Ste. 2-B Williamsburg (757) 221-7272 American Cancer Society 11835 Canon Blvd., Ste. A-102 Newport News (757) 591-8330 American Heart Association Toll-Free: (800) 242-8721 American Red Cross Hampton Roads Chapter 4915 W. Mercury Blvd. Hampton (757) 838-7320 American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090 The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461 Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060 Center for Child & Family Services 2021 Cunningham Drive, Ste. 400 Hampton (757) 838-1960 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd., Ste. 2E Newport News(757) 833-7845 Faith in Action Hampton (757) 245-3550

www.thehealthjournals.com

Family Learning & Enrichment Center 1904 Jefferson Ave. Newport News (757) 247-7863

Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555

Food Bank of Va. Peninsula 9912 Hosier St. Newport News (757) 596-7188

Riverside OB/GYN & Family Care 10510-D Jefferson Ave. Newport News (757) 594-4720 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891

Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Girl Scout Council of Colonial Coast 813 Forrest Drive, Ste. B Newport News (757) 595-9802 Habitat for Humanity 809 Main St. Newport News (757) 596-5553 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635 Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450 Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676 The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600 Patient Advocate Foundation 700 Thimble Shoals Blvd., Ste. 200 Newport News (757) 873-6668 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 591-0643 Protect our Kids P.O. Box 561 Hampton (757) 727-0651 RSVP-VP (Retired/Senior Volunteers) 12388 Warwick Blvd., Ste. 201 Newport News (757) 595-9037

Riverside Warwick OB/GYN 12200 Warwick Blvd., Ste. 510 Newport News (757)534-5700 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794 Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945 Warwick Denbigh OB/GYN 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891 Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000

Occupational Health Services I&O Medical Centers 593 Aberdeen Road Hampton (757) 825-1100 704 Thimble Shoals Blvd., Ste. 200 Newport News (757) 240-5580 Riverside Business Health 608 Denbigh Blvd., Ste. 500 Newport News (757) 856-7000

Oncology Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Cancer Institute 12100 Warwick Blvd., Ste. 201 Newport News (757) 534-5555

The Salvation Army 1033 Big Bethel Rd. Hampton (757) 838-4875

Radiation Oncology Specialists 12100 Warwick Blvd., Ste. 102 Newport News (757) 594-2644

The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757

Sentara Cancer Institute 3000 Coliseum Dr., Ste. 100 Hampton (757) 827-2430

SEDONA (Sending Equipment & Drugs Overseas to Non-Governmental Agencies) 2112 Executive Dr. Hampton (757) 826-3748

Surgical Oncological Associates 11803 Jefferson Ave., Ste. 235 Newport News (757) 594-1806

Senior Center of York 5414 Geo. Washington Mem. Hwy. Yorktown (757) 898-3807

Virginia Oncology Associates 1051 Loftis Blvd., Ste. 100 Newport News (757) 873-9400 3000 Coliseum Drive, Ste. 104 Hampton (757) 827-9400

Taksha Institute School of Integrative Medicine 15 Research Drive Hampton (757) 766-5831 United Way of Virginia Peninsula 739 Thimble Shoals Blvd., Ste. 400 Newport News (757) 873-9328

Obstetrics & Gynecology Center for Women’s Health 12706 McManus Blvd. Newport News (757) 874-2229 101 Eaton St., Ste. 300 Hampton (757) 851-7601

Ophthalmology Advanced Vision Institute 3000 Coliseum Dr., Ste. 201 Hampton (757) 826-9291 Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757) 643-8800 850 Enterprise Pkwy., Ste. 1200 Hampton (757) 838-4500 12420 Warwick Blvd., Ste. 1-D Newport News (757) 596-3806 James River Eye Physicians 704 Thimble Shoals Blvd., Ste.100 Newport News (757) 595-8404

Colonial OB/GYN Associates 716 Denbigh Blvd., Ste. E-2 Newport News (757) 874-2790

Kaz Vision & Laser Center 12690 McManus Blvd. Newport News (757) 875-7700

Wetchler & Dineen GYN 12700 McManus Blvd., Ste. 102-A Newport News (757) 874-8696

TPMG Ophthalmology 860 Omni Blvd., Ste. 201 Newport News (757) 223-5321

Norman R. Edwards, MD 610 Thimble Shoals Blvd., Ste. 404 Newport News (757) 873-0712

Virginia Eye Consultants 2101 Executive Drive Hampton (757) 826-4702

Charlie M. Faulk, MD 704 Gum Rock Court, Ste. 300 Newport News (757) 873-3808

Wagner Macula & Retina Ctr. 300 Marcella Rd. Hampton (757) 481-4400

Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369

Optometry

Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655 William R. Waldron, OD 1215-V Geo. Wash. Mem. Hwy. Yorktown (757) 596-5666

Children's Orthopedic & Sports Medicine 11783 Rock Landing Drive Newport News (757) 668-6550

Glendale Pharmacy 12444 Warwick Blvd. Newport News (757) 595-3355

Denbigh Orthopedic & Sports Medicine 12720 McManus Blvd., Ste. 311 Newport News (757) 872-0548

Harris Teeter Pharmacy 12404 Warwick Blvd. Newport News (757) 595-3524

Hampton Roads Orthopedic & Sports Medicine 730 Thimble Shoals Blvd., Ste. 130 Newport News (757) 873-1554

Hidenwood Pharmacy 35 Hidenwood Shopping Center Newport News (757) 595-1151

Orthopedic & Musculoskeletal Center of Hampton Roads 850 Enterprise Pkwy., Ste. 2000 Hampton (757) 838-5055

K-Mart Pharmacy 210 W. Mercury Blvd. Hampton (757) 722-2823 401 Oriana Rd. Newport News (757) 874-0892 5007 Victory Blvd. Newport News (757) 874-1245

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Tidewater Orthopaedic Associates & Imaging Center 901 Enterprise Pkwy., Suite 900 Hampton (757) 827-2480 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657

Pain Management

Portside Pharmacy 1101 William Styron Square S. Newport News (757) 327-0780

Pain Management & Rehabilitation Specialists 245 Chesapeake Ave. Newport News (757) 928-8040

Rite Aid Pharmacy Visit www.riteaid.com for local listings.

Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291 PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229 Riverside Pain Management & Infusion Center 12420 Warwick Blvd., Ste. 3-C Newport News (757) 534-5055

Pediatrics Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111 The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070 Children's Specialty Group, PLCC 111783 Rock Landing Dr., Ste. 202 Newport News (757) 668-7500 601 Children's Lane Norfolk (757) 668-7500 2021 Concert Drive Virginia Beach (757) 668-7500 733 Volvo Parkway Chesapeake (757) 668-7500 Rose J. Cloud, MD 1295 McManus Blvd., Ste. 1-C Newport News (757) 988-0085 Hampton Roads Pediatrics 23 Manhattan Square Hampton (757) 224-1600 Mark E. Holman, MD 2115 Executive Dr., Ste. 10-A Hampton (757) 826-5437 Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910

Drs. Lockart & Yeatts 827 Diligence Dr., Ste. 210 Newport News (757) 873-0551

Dr. Peter L. Guhl, PLC & Associates 4102 Geo. Washington Mem. Hwy. Yorktown (757) 890-2020

Maternal-Fetal Medicine 500 J. Clyde Morris, Bldg. G, Ste. 200 Newport News (757) 594-3636

Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757)643-8800 2400 Cunningham Dr., Ste. 900 Hampton (757) 838-4500 4032 Campbell Rd., Ste. B Newport News (757) 877-3956

Peninsula Medical Center for Women 10758-A Jefferson Ave. Newport News (757) 599-6389 Peninsula WomanCare 11842 Rock Landing Dr., Ste. 115 Newport News (757) 595-9905

N2 eyes Comprehensive Optometry 11045 Warwick Blvd. Newport News (757) 594-4018

Mercury West Discount Pharmacy 2148 W. Mercury Blvd. Hampton (757) 827-1938

Pain Management Center 4000 Coliseum Dr., Ste. 340 Hampton (757) 827-2230

Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188

Lenscrafters 1800 W. Mercury Blvd. Hampton (757) 825-3044 12300 Jefferson Ave. Newport News (757) 249-3091

Medicap Pharmacy 956 J. Clyde Morris Blvd. Newport News (757) 599-9643

Poquoson Pharmacy 498 Wythe Creek Rd. Poquoson (757) 868-7114

Clearvision Optometry Kenneth L. Arndt, OD 422 Oriana Road Newport News (757) 875-0675

Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709

Kroger Pharmacy 14346 Warwick Blvd. Newport News (757) 877-7963 101 Village Ave. Yorktown (757) 833-0406

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900

Debra L. Hall, MD 11745 Jefferson Ave., Ste. 10-A Newport News (757) 596-6300

Dr. John Kauffman & Associates 2157 Cunningham Dr. Hampton (757) 826-3937

Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253

Orthopedics & Sports Medicine

Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889

OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979

Costco Wholesale 1212 Jefferson Ave. Newport News (757) 746-2002

East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554

Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009

Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900

Pharmacies

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160 Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846 George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400 Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661 Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166 York Pediatrics 5033-B Geo. Washington Mem. Hwy. Yorktown (757) 969-1500

Sam’s Club Pharmacy 12407 Jefferson Ave. Newport News (757) 874-2096 Target Pharmacy 1911 Saville Row Hampton (757) 827-8024 12130 Jefferson Ave. Newport News (757) 881-9371 Walgreen Drug Stores Visit www.walgreens.com for local listings. Wal-Mart Pharmacy Visit www.walmartpharmacies.com for local listings.

Physical Therapy & Rehabilitation Aquatic Therapy of Virginia 525-E Oyster Point Rd. Newport News (757) 269-0430 Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220 Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470 Dominion Physical Therapy 466 Denbigh Blvd. Newport News (757) 875-0861 11848 Rock Landing Dr., Ste. 302 Newport News (757) 591-2022 304-E Marcella Rd. Hampton (757) 825-9446 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 Hampton Physical Therapy 2107 Hartford Rd. Hampton (757) 825-1700 Hand Rehabilitation of Virginia 11848 Rock Landing Dr., Ste. 303 Newport News (757) 873-8839 Mary Immaculate Outpatient Physical Therapy - Denbigh 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 Mary Immaculate Outpatient Physical Therapy - Victory YMCA 101-A Long Green Blvd. Yorktown (757) 952-1900 Mary Immaculate Outpatient Phsyical Therapy, Occupational Therapy & Speech Therapy 2 Bernadine Drive Newport News (757) 886-6480 OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900 Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453 Physical Therapy NOW 704 Thimble Shoals Blvd., Ste. 400-A Newport News (757) 591-2668 Pinnacle Hand Therapy 11712-D Jefferson Ave. Newport News (757) 595-4880 Riverside Rehabilitation Institute - Inpatient Services 245 Chesapeake Avenue Newport News (757) 928-8000

Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097

Psychiatry & Mental Health

Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090

Associated Counselors of Tidewater 2019 Cunningham Dr., Ste. 220 Hampton (757) 825-9181

Sentara CarePlex Therapy Center 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2070

Associates of Hampton Roads 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-2307

Summit Rehab 101 Eaton St., Ste. 101 Hampton (757) 722-1210

Associates of York 205 Hampton Highway Yorktown (757) 865-1843

Tidewater Physical Therapy, Inc. 771 Pilot House Drive Newport News (757) 873-2302 2115 Executive Dr., Ste. 10-D Hampton (757) 838-6678 12695 McManus Blvd., Ste. 6-B Newport News (757) 874-0032 860 Omni Blvd., Ste. 202 Newport News (757) 327-0196 12655-B Warwick Blvd. Newport News (757) 599-5551 9 Manhattan Square, Ste. B Hampton (757) 825-3400

Behavioral Medicine Institute 606 Denbigh Blvd., Ste. 100 Newport News (757) 872-8303

Tidewater Lymphedema Treatment Center 12655-B Warwick Blvd. Newport News (757) 599-5551 Virginia Health Rehab 204 Nat Turner Blvd. Newport News (757) 594-0330

Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060 Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900 Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144 Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735

Plastic & Cosmetic Surgery

Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700

Carney Center for Cosmetic & Plastic Surgery 716-C Denbigh Blvd. Newport News (757) 886-9197

Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958

Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700

Community Services Board - Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200

Peninsula Cosmetic & Reconstructive Surgery 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486 Plastic Surgery Center of Hampton Roads 895 Middle Ground Blvd., Ste. 300 Newport News (757) 873-3500 John M. Pitman III, MD 11803 Jefferson Ave. Newport News (757) 223-5861

Podiatry A to Z Family Footcare 12695 McManus Blvd., Ste. 1D Newport News (757) 561-8671 Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800 Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170 American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101 Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425

Community Services Board - Child & Adolescent Psychiatry 600 Medical Drive Hampton (757) 788-0600 Connected Counseling Services 780 Pilot House Dr., Ste. 100-A Newport News (757) 223-7821 Betty Eastman, LCSW & Associates, Inc. 200 City Hall Ave., Ste. E Poquoson (757) 868-0072 F. Lanier Fly, LPC St. George T. Lee, MDMA 718 J. Clyde Morris Blvd. Newport News (757) 873-8566 Genesis Counseling Center 2202 Executive Dr., Ste. C Hampton (757) 827-7707 Hampton Mental Health Assoc. 2208-A Executive Dr. Hampton (757) 826-7516 Hampton Roads Behavioral Health 304 Marcella Road, Ste. B Hampton (757) 827-7350 Hampton Roads Counseling Center 6515 Geo. Washington Mem. Hwy. Grafton (757) 877-9140 Holistic Mental Health, Inc. Hampton (757) 826-2514 Insight Nuerofeedback & Counseling P.O. Box 6378 Newport News (757) 345-5802

David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424

Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635

Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111 5659 Parkway Dr., Ste. 200 Gloucester (757) 249-0450

Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972

TPMG Podiatry 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657

Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852

Womick Podiatry Clinic 704 Thimble Shoals Blvd., Ste. 300-B Newport News (757) 595-7634

Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120

Preventative Medicine

Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701

Healthspan of Hampton Roads 11747 Jefferson Ave., Ste. 1A Newport News (757) 969-3876 Longevity Center of Va. 11000 Jefferson Ave. Newport News (757) 599-7899

Prosthetics & Orthotics Certified Prosthetic & Orthotic Specialists Barry K. Kelly, CPO, C ped 802 Lockwood Ave., Ste. B Newport News (757) 833-0911 Foot Solutions 2643 Geo. Washington Mem. Hwy., Unit 3 Yorktown (757) 867-8111 Fully Confident Restwear, Inc. 603 J. Clyde Morris Blvd., Ste. 4 Newport News (757) 595-3488 Hanger Orthotics & Prosthetics 2713 Magruder Blvd., Ste. 1 Hampton (757) 766-8047

Planned Parenthood 910 W. Mercury Blvd. Hampton (757) 826-2079

To advertise, call 757-645-4475

Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650

Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240

Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353 Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025 Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938 Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336 Dawn R. Reese, PhD 705-C Mobjack Place Newport News (757) 591-2300 Riverside Behavioral Health Center 2244 Executive Drive Hampton (757) 827-1001 Rock Landing Psychological Group 11825 Rock Landing Drive Newport News (757) 873-1736 Tipton K. Sheets, LPC, LMFT Yorktown (757) 898-9022

THE HEALTH JOURNAL

October 2009

Ohm Spa Sanctuary 707 Mariners Row, Ste. 103 Newport News (757) 271-8813

Thimble Shoals Counseling & Therapy Center 703 Thimble Shoals Blvd., Ste. A-3 Newport News (757) 873-3401

Oyster Point Massage Therapy 815-C Blue Crab Rd. Newport News (757) 873-0075

Therapy Associates of Denbigh 12725 McManus Blvd., Ste. 2-G Newport News (757) 874-1676 Viola Vaughan-Eden, PhD, LCSW 610 Thimble Shoals Blvd., Ste. 301-D Newport News (757) 594-6011 Virginia Psychological Services 732 Thimble Shoals Blvd., Ste. 705-K Newport News (757) 873-4744 Elaine S. Whitaker, LCSW 2101 Executive Drive Hampton (757) 838-4144

Pulmonology & Sleep Disorders George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032 Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350 Phillip Dennis, MD 2021-A Cunningham Drive Hampton (757) 262-0544 Peninsula Pulmonary Associates 500 J. Clyde Morris Blvd. Newport News (757) 594-2732 Riverside Sleep Disorders Center 12420 Warwick Blvd., Ste. 7-A Newport News (757) 594-2012 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 Sleep Disorders Center Sentara CarePlex 4000 Coliseum Drive, Ste. 350 Hampton (757) 827-2180

Reproductive Medicine The Jones Institute 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 599-9893

Rheumatology Arthritis Center of Hampton Roads 2115 Executive Dr., Ste. 6-C Hampton (757) 874-7246 David B. Maxwell, MD 11747 Jefferson Ave., Ste. 4-E Newport News (757) 595-2040 H. Alexander Wilson, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300

Spas & Massage A Day Spa Massage Therapy 2206 Executive Dr. Hampton (727) 826-7616 Ageless Massage Therapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838 A Healing Touch Massage 15525 Warwick Blvd. Newport News (757) 969-5094

Ritz Internationale Hair Design 36 Coliseum Crossing Hampton (757) 838-4247 Salon Vivace Commerce Place Shopping Ctr. Newport News (757) 873-1775 Salters Creek Retreat 100 Bridge St., Ste. D Hampton (757) 723-1934 Shane’s Salon & Day Spa 101 York Crossing Rd. Yorktown (757) 898-1299 Shear Touch Salon & Spa 1700 Geo. Washington Mem. Hwy., Ste. H Yorktown (757) 246-3010 Sona Medspa 827 Diligence Dr., Ste. 206 Newport News (757) 599-9600 Soothing Moments Massage Therapy 11747 Jefferson Ave. Newport News (757) 595-2209 Spa Botanica at Embassy Suites Hotel 1700 Coliseum Dr., 2nd Floor Hampton (757) 213-8510

Therapeutic Massage Center 704 Middle Ground Blvd. Newport News (757) 599-3384

Zenya Yoga & Massage 101 Herman Melville Ave. Newport News (757) 643-6900

Alcoholics Anonymous (757) 595-1212

Most insurance accepted.

Alcohol-Drug Treatment Referral Toll-Free (800) 622-4357

Bacon Street Youth Counseling Center 3804 Geo. Washington Mem. Hwy. Yorktown (757) 253-0111

Narcotics Anonymous (757) 875-9314 Riverside Behavioral Health Center 2244 Executive Dr. Hampton (757) 827-1001 24-Hr. Addictions Referral Network Toll-Free (800) 577-4393

Balance & Harmony Spa 415 Jan Mar Drive Newport News (757) 246-4800

Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100

As s e e n I wa n t a o n MT V Famo us F ac e !

Plastic & Reconstructive Surgery

TPMG Urology Geoffrey B. Kostiner, MD Eric C. Darby, MD 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562

John M. Pitman III, MD, FACS Krystal Paez, PA-C

Vascular Surgery Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340

• Accredited Ambulatory Surgery Center • Friendly Staff • Private and Confidential • Numerous Financing Options

PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080 Charles E. Umstott, MD 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511 Vascular & Transplant Specialists 4000 Coliseum Dr., Ste. 310 Hampton (757) 262-1110

For consultations, call 757-229-5200

JonBre European Spa 3630-H Geo. Washington Mem. Hwy. Yorktown (757) 867-1190 The Michael Hickman Salon 5328 Geo.Washington Mem. Hwy. Yorktown (757) 898-4772 Nail Hair & Massage 3016 W. Mercury Blvd. Hampton (757) 262-0555 Natural Nail Care Clinic & Spa 815 Middle Ground Blvd. Newport News (757) 873-6840

THE HEALTH JOURNAL

Lt. Col., U.S. Army Medical Corps

Beauty.

Families Anonymous Toll-Free (800) 736-9805

Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430

John M. Pitman III, MD, FACS

Plastic & Reconstructive Surgery

Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900

American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924

Institute of Health & Healing Life Enrichment Center, Inc. 11847 Canon Blvd., Ste. 8 Newport News (757) 873-3900

www.ppsc4u.com

Al-Anon Toll-Free (888) 425-2666

Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374

Healthy Touch 11830-C Canon Blvd. Newport News (757) 595-0029

Fax: 757-229-2692

Addiction Recovery Helpline Toll-Free (800) 582-6066

Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774

Healing & Wellness Sanctuary 12829 Jefferson Ave., Ste. 106 Newport News (757) 803-9876

Body. 757 / 229-5200

Addiction Medicine Specialists 703 Thimble Shoals Blvd., Ste. C-5 Newport News (757) 508-2386

David P. Bayne, MD 2204-E Executive Dr. Hampton (757) 838-8836

De-Stress Express 11835 Canon Blvd., Ste. B-103 Newport News (757) 873-8968

NEWPORT NEWS 703 Thimble Shoals Blvd., Suite 5-C

Substance Abuse & Addiction

Urology

Completely U Day Spa & Salon 10524 Jefferson Ave. Newport News (757) 595-2711

• Accredited Ambulatory Surgery Center • Friendly Staff • Private and Confidential • Numerous Financing Options WILLIAMSBURG 324 Monticello Ave.

Victoria’s Day Spa 6515 Geo. Washington Mem. Hwy. Yorktown (757) 890-9700

Absolutely Slender, Inc. 2206-B Executive Dr. Hampton (757) 826-0990

Center 4 Massage Therapy 66 W. Mercury Blvd., Ste. 5 Hampton (757) 723-3829 11010 Warwick Blvd. Newport News (757) 723-3829

Mind. Body. Beauty.

Serving two locations Mind.

Sunset Spa 3301-E Hampton Hwy. Yorktown (757) 867-9480

A Therapeutic Massage by Darryl 2019 Cunningham Dr. Hampton (757) 826-7266

Balanced Body Co. 705 Mobjack Place Newport News (757) 873-5755

Feel lost in the crowd?

160301X

Sara E. Sutton, PhD 753-D Thimble Shoals Blvd. Newport News (757) 599-6470

For advertising, call:

757-645-4475 October 2009

Williamsburg | 324 Monticello Ave.

www.ppsc4u.com

www.thehealthjournals.com

Living Your Life

Shouldn’t Cost Your Life Savings

There are lots of places to live. Some are inexpensive, but short on comfort, services or amenities. Others charge “community” fees on top of the already high rent. Verena Senior Lifestyle Residences are different. We offer a superior, active lifestyle at surprisingly reasonable prices and we won’t ever charge you additional fees for the “privilege” of living here. One bedroom, including two meals daily, from $1,880. Join us for our Live Your Life Retirement Series. We are pleased to provide free information about the important issues you care about. Visit our website for more details about our upcoming events.

www.VerenaAtTheReserve.com/Events 121 Reserve Way at 4300 Mooretown Road Williamsburg, VA

OPENING FALL 2009 To learn more, call today! 757-912-2012

*Utilities do not include phone. Verena at The Reserve is for residents age 62+. Prices, availability and amenities are subject to change without notice.

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Port Warwick Dental Arts Thanks You for

Giving Children a Reason to Smile

Dear Hampton Roads “Smiles for Life” Participants, It was a pleasure meeting you through our recent Smiles for Life fundraiser. Thank you for allowing us to brighten your smile and, in so doing, brighten the lives of children in our community and across the country, some of whom don’t always have a lot of reasons to smile. Thanks to you, our efforts were a great success. Together we raised $12,000 for Children’s Hospital of The King’s Daughters and the Smiles for Life Foundation. We also want to thank you for the chance to share our unique philosophy of care with you. Our practice can provide you and your loved ones with comprehensive dental care in so many ways, and we would love to get to know you better! Again, thanks for your support, Hampton Roads—and the chance to brighten your smile. Warmest regards,

Lisa Marie Samaha, DDS, and my exceptional team 251 Nat Turner Boulevard, Newport News

(757) 223-9270 www.PWDentalArts.com

Our gift Of health tO yOu: a

free COsmetiC evaluatiOn. a $127 savings! Call us tOday (757) 223-9270 Offer expires 10/31/09 limited tO the first 10 whO Call.

PAIN MANAGEMENT

Epidural Steroid Injections:

An Effective Solution for Back Pain Written By Dr. Raj Sureja

pidural steroid injections (ESIs) are minimally invasive shots used to relieve neck, arm, back and leg pain caused by inflamed spinal nerves, degenerative or herniated discs, and spinal stenosis, a narrowing of the spinal canal. The goal of the injection is pain relief; often the injection alone is sufficient to relieve pain and allow the patient to progress with a rehabilitative stretching, exercise and therapy program. ESIs can also help determine whether

THE HEALTH JOURNAL

surgery might be beneficial for pain body’s own natural cortisone producassociated with a herniated or degen- tion. Other risks include spinal puncerative disc. ture, possibly resulting in headaches, ESIs have been used since 1952 and infection, bleeding and nerve or spinal are still an integral part of the non- cord injury. This risk is very low, howsurgical management of sciatica (nerve ever, when the injection is adminispain felt in the back and leg) and spinal tered by a physician who has specific pain. The use of fluoroscopy, a form of live X-ray used to assist in needle Generally, ESIs are safe. guidance, has made targetHowever, as with any ing the affected areas more precise and has improved medical procedure, there are patient outcomes. side effects and risks. ESIs deliver medications directly to (or very near to) the source of pain generation in the epidural space—that training in these procedures and who area between the protective covering of uses fluoroscopy to produce real-time the spinal cord and the vertebrae that images of the patient’s body during the communicates with the spinal nerves injection. and intervertebral discs. Typically, the The extent of pain relief an ESI offers injection contains both a long-lasting varies from patient to patient—lasting corticosteroid (cortisone) and an anes- from days to years—and depends on thetic agent (i.e., lidocaine). The corti- a number of factors, including the costeroid reduces inflammation and/ body’s response to the steroid medicaor swelling. The majority of pain stems tion, the level of degeneration and the from inflammation, and ESIs can help amount of inflammation. Typically, no control the inflammation of discs and more than three injections are given spinal nerves while also “flushing out” to one patient in a six-month period, inflammatory proteins and chemicals although more may be given if the from the epidural space that may con- patient experiences no adverse side tribute to and exacerbate pain. effects from the cortisone. HJ Generally, ESIs are safe. However, as with any medical procedure, there Raj Sureja, M.D., is are side effects and risks. The most an interventional common side effect of an injection is pain specialist with temporary pain at the site of injecOrthopaedic Spine tion. Some patients may experience Center, located in adverse reactions to the cortisone such Newport News. as elevated blood sugar, weight gain, water retention and suppression of the

October 2009

www.thehealthjournals.com

Whole flaxseed, but not oil, may cut cholesterol NEW YORK (Reuters Health)

dding whole flaxseed to your diet, not flaxseed oil, may help lower your cholesterol levels, hint the combined results of multiple studies. Flaxseed is seen as a heart-healthy food as it contains high amounts of omega-3 fatty acids, fiber, digestion-aiding compounds called lignans, and alpha linolenic acid, which is linked to heart health. However, individual studies on flaxseed’s impact on blood cholesterol levels have yielded mixed results. This led Dr. Xu Lin, at the Chinese Academy of Sciences in Shanghai, and colleagues to pool results from 28 studies involving more than 1,500 men and women to try to clarify the impact whole flaxseed and its derivatives have on cholesterol levels. Average whole flaxseed or flaxseed oil intake was about one tablespoon daily. The findings, reported in the American Journal of Clinical Nutrition, link whole flaxseed with reductions in total cholesterol and “bad” LDL cholesterol. Total and LDL cholesterol reductions with whole flaxseed intake were stronger in women, particularly postmenopausal women, than men, and in people with higher cholesterol concentrations at the outset, the researchers note. Whole flaxseed, however, did not appear to significantly alter levels of either harmful triglycerides or “good” HDL cholesterol. Lin’s group also noted declines in total and LDL cholesterol, but not HDL cholesterol or triglycerides, associated with taking supplements of flaxseed lignans (about 430 milligrams on average), but no reductions associated with flaxseed oil supplements. The investigators suggest, based on their findings, that eating whole flaxseed may be a “worthwhile dietary approach” for preventing high cholesterol. They call for further large-scale investigations to assess the impact flaxseed and flaxseed compounds have among men and women at risk for heart disease. HJ

The region’s only comprehensive hernia care center. • • • • •

inguinal incisional laproscopic and single lumen (SILS) umbilical sports hernia

STEVEN B. HOPSON, M.D., F.A.C.S, Director Bon Secours Hernia Center at Mary Immaculate 860 Omni Blvd., Suite 204 | Newport News, VA 23606 | 757-874-1077 | 1-800-889-3627

www.bonsecourshamptonroads.com/hernia

Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.

Dr. Nordlund is a former University of Virginia Medical School faculty member with fellowship training in retina at the Mayo Clinic and glaucoma at Johns Hopkins.

Office hours: Monday-Friday 8:30-5:00

CANCER RUNS IN THE FAMILY.

John R. Nordlund, MD, PhD

www.rgava.com

Member, American Society of Retina Specialists Member, American Glaucoma Society

Most insurance plans accepted

113 Bulifants Boulevard, Suite A | Williamsburg, VA 23188 | 757-220-3375

EARLY DIAGNOSIS. EARLY TREATMENT. LONG LIFE. Breast cancer has the highest mortality of all female reproductive system cancers. A family history of breast cancer, obesity, or use of fertility drugs for a prolonged period of time, along with other factors may increase your risk of developing the disease. Talk to your doctor and get a true picture of your health. Risk factors include:

Providing home health care 24 hours a day, 7 days a week

• Post Menopause • Menstruation before age 12 • No children or first child after age 30 • Breast Cancer or BRCA mutation • Use of Estrogen replacement therapy

VirginiaCancer.com 757-873-9400

12528 Warwick Blvd, Unit E Newport News, VA 23606

Call

757-595-9676

CALENDAR

SUPPORT GROUPS

Show your support for Riverside Rehabilitation Institute by entering the Annual Riverside Golf Challenge, starting at noon at the Ford’s Colony Country Club. Recruit your company’s best players for the Corporate Challenge. Enjoy post-tournament fare and enter to win prizes. Call (757) 928-8130 for more information.

9& 10 th

Gethsemane Baptist Church, located at 3509 Chestnut Ave. in Newport News, will host a “Fight for Your Healing” health fair open to the public. On Friday, learn about women’s health issues from 8:45 a.m. to 12:45 p.m., and get informed about men’s health issues from 6 to 8 p.m. On Saturday, return for a discussion on general health issues from 8 a.m. to 2 p.m. Local health agencies will offer free screenings and informational packets.

13 15

Parents will learn how to use effective discipline techniques, teach responsibility and communicate with their teens in this free six-week course, “Active Parenting of Teens,” to be held Tuesdays through Nov. 17, from 6 to 8 p.m., at the Poquoson Community Center (on the Poquoson High School campus, 49 Odd Rd.). This free series is made possible by Family Focus, a program of the Colonial Services Board. Call (757) 898-2945 to register. See our online calendar at www. thehealthjournals.com for more events brought to you by Family Focus.

From 6 to 9 p.m., join Dr. Lisa Marie Samaha and her staff at Port Warwick Dental Arts for an elegant evening of food, festivities and philanthropy during an Open House to benefit Children’s Hospital of The King’s Daughters. Enter to win fabulous door prizes including spa packages, fine art, movie tickets and more. Anyone can attend. A $10 donation will be taken at the door. RSVP: (757) 223-9270 or scheduling@PWDentalArts.com

The Leukemia and Lymphoma Society’s annual Light the Night Walk will begin at 7 p.m. in City Center at Oyster Point. Registration begins at 5:30 p.m., followed by a stage program at 6 p.m. Walkers will enjoy food, festivities and fun. For more information, contact Molly Tanner at (757) 7232676, ext. 203, or by e-mail at molly.tanner@lls.org. Sign up online at www.lightthenight.org/va.

18 27

Alcohol & Drug Recovery SAARA-Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395

Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111

October 2009

Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org

Register the whole family for the Great Pumpkin Chase 5K. Runners and walkers are welcome. Race starts at 9 a.m., rain or shine, at Matteson Trail in Hampton, 320 Butler Farm Rd. A costume contest will be held at 8:45 a.m. Cost is $20 by Oct. 17 and $25 thereafter. Visit www.happypaceraces.com or call (757) 784-0960 for more information or to sign up.

THE HEALTH JOURNAL

ADDiction Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700

Kids’ Group Spirit Works 5800 Mooretown Rd. (757) 564-0001

Find more health events on our online calendar at www.thehealthjournals.com 40

Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480

Get a free balance evaluation at 10 a.m. at Sentara CarePlex Hospital in Hampton. Register online at www.sentara.com/classes.

Join the specialists of Riverside Medical Group for “The Doctor is In,” a free lecture series about health topics of special interest to seniors and women. Lectures are held at 9 a.m. on the last Wednesday of each month in the Food Court at Patrick Henry Mall. For a preview of this month’s talk, visit www.riversideonline.com. For more information, call (757) 875-7880.

Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022

Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606

Step out to Port Warwick at 3 p.m. for The National Kidney Foundation’s Kidney Walk (dayof-walk registration will begin at 2 p.m.). Call (757) 825-5450 for more information, or send e-mail to paula.bazemore@kidney.org. Visit www. kidneywalk.org to pre-register.

Children ages nine to 14 who have a brother or sister with special health needs are invited to enroll in Children’s Hospital of The King’s Daughters’ “Sibshops for Siblings” program. This free workshop will be held from 6:30 to 8:30 p.m. at the CHKD Health and Surgery Center at Oyster Point, 11783 Rock Landing Drive in Newport News. To register, call Gail Cervarich at (757) 668-7646.

Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813

Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com

Riverside Regional Medical Center’s Emergency Department will offer free child seat safety checks and installations between 8 and 11 a.m. and again between 5 and 8 p.m. Call 875-7880 to schedule an appointment.

Abortion “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 a.m. (757) 886-6364

Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541

Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Jewish Family Service Simon Family JCC Mondays, 10:00 to 2:00 p.m. Call for information (757) 321-2222 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 Second Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tuesday, 10 a.m. (757) 599-6847 or (757) 930-0002 Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society Kings Way Church Last Thursday, 7 to 9 p.m. (757) 220-1137 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370 Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595

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CALENDAR "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287

Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234

Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948

Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438

Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Cancer Support Virginia Oncology Associates Sentara Careplex Hospital Conference Room 3rd Thursday Call for information (757) 213-5818

The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., Call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700 Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974 Celiac Disease Monticello Ukrop’s Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050 Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050

Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455

African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393

Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725

Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033

Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795

ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940

Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923 Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743 Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279 St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 to 9:30 p.m. (757) 827-1001

Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847 Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051 St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945 Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862 Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971 Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880 Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381

Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

To advertise, call 757-645-4475

PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994 Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994 Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994 Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

HEALTH RESOURCES

Lackey Free Clinic Walk-in eligibility screenings held Mon., 5:30 to 8 p.m. Regular hours are: Mon.-Thurs., 8:30 to 5 p.m., and Fridays 8:30 to noon (757) 886-0608 Lamaze Classes Call for information. (757) 565-6156 Planetree Health Resource Library Sentara Williamsburg Regional Medical Center Open 24 hrs/day. (800) SENTARA Prenatal Yoga Zenya Yoga Studio Sat., 12:15 to 1:15 p.m. (757) 886-6700 Sentara Living for adults 50-plus Sentara Williamsburg Regional Medical Center 3rd Thurs., 10 a.m. to noon (800) SENTARA Sentara CarePlex Hospital 3rd Wed., 10 a.m. to noon (800) SENTARA Singles Dance 128 Deep Creek Rd. 2nd & 4th Saturday 7:30 to 10:30 p.m. (757) 247-1338 Knitting For Others Jewish Family Service Simon Family JCC Room 102 Wednesdays, Room 102 (757) 321-2309 Current Events Discussion Group Jewish Family Service Simon Family JCC Room 238 Tuesdays, 10:30 a.m. Call for information (757) 321-2309 Student Physicals For students 14 years of age and older. Riverside Occupational Health Clinic (757) 886-7811 Walk-in Immunization Clinic Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. (757) 259-3258 Yoga for Diabetics Free and open to the public Angels of Mercy Clinic Tuesdays, 3 p.m. (757) 565-1700

Blood Pressure ScreeningS - Free Senior Center of York Every Wednesday Walk-ins welcome. (757) 898-3807 New Town Urgent Care Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. (757) 259-1900

THE HEALTH JOURNAL

October 2009

PROFILE

Her Experience Came Hard Earned Interview By Page Bishop-Freer

Photography By Brian M. Freer

here’s a common saying that what doesn’t kill us inevitably makes us stronger. For 25-yearold Anna Dube, it was a near-fatal accident that inspired her to become a doctor of physical therapy. For Dube, helping patients recover from injury or illness is “what I always wanted to do—there was never any other option.” On the eve of June 26, 1996, just weeks before her 12th birthday, Dube and fellow neighborhood swim team members were eager to celebrate their swim meet victory that day with a couple of ice cream sundaes at Friendly’s Restaurant. (Dube had been a champion swimmer since age six, well before her family moved to Williamsburg.) After crossing Richmond Road to chat with another band of swimmers who’d congregated at Denny’s, Dube and her comrades headed back towards Friendly’s. As Dube skipped ahead of the others and through the crosswalk, she was hit by a van going 45 mph—well above the posted 25-mph speed limit—knocking Dube unconscious. Dube was taken to the nearest hospital and then transported via helicopter to Sentara Norfolk General Hospital, where she was treated for severe head trauma. She spent the following few days on a respirator in the critical care unit at Children’s Hospital of the King’s Daughters. For weeks she received food and liquids through a plastic feeding tube. “I don’t think there was ever a point where I realized what had happened,” says Dube. “All the pieces just fell together over time.” To help her fill in the blanks, Dube’s father compiled a leather-bound book of photos, newspaper articles, hospital ID bracelets and visitor’s passes, as well as the 17 “Anna Updates” that he’d composed, often during the wee hours of the night. A family friend had posted the updates at the neighborhood pool to keep concerned families informed about Dube’s progress. Soon after the Fourth of July, Dube began a six-week intensive rehabilitation program at Children’s Hospital

of Richmond that involved learning to walk, swallow and talk again. It was there that she got her first glimpse of what physical therapy was all about. By the time she was discharged in early August, Dube knew she “wanted to help other kids like me who’d been injured.” Most of all, “I thought [a career in physical therapy] would be fun.” To her therapists’ surprise, Dube returned to swimming just weeks after returning home, first in day therapy sessions and then in her neighborhood

anna dube, dpt

THE HEALTH JOURNAL

pool. Soon she was attending swimming lessons again and eventually competing. Dube credits her recovery to several key factors: “The fact that I was so young—my brain was still plastic, still forming; my family always being there—my dad spent weekends with me and my mom [spent] weekdays—they slept in the windowsill in my hospital room; and I had a lot of friends come to visit, a lot of support from the swimming community. Plus, as a swimmer, I was in excellent physical shape. Swimming taught me how to set a goal and reach it.” The same goal-minded attitude guided Dube through high school, college and then graduate school. Despite lingering cognitive problems, she earned both her master’s degree and doctorate in physical therapy—all by the tender age of 22. Dube could have traveled far and wide in her career but decided to return to her hometown of Williamsburg where she currently sees patients at Reach For Performance, Inc. The Health Journal recently had lunch with this fiery young woman to find out more about what it’s like being one of the area’s youngest and most intriguing physical therapists. HJ: Are patients ever surprised by how young you are? AD: I have a lot of patients who say, ‘No way! You’re not a doctor!’ But that is why I went to Ithaca [College] for all of my degrees, so I could get it done quickly. [Ed.: Ithaca offers an accel-

Age: 25 Hometown: Williamsburg, Va. Family: Parents Tim and Christine Dube; brother Mike Education: Bachelor of Science degree in Clinical Science, Master of Science in Physical Therapy, Doctorate of Physical Therapy— all from Ithaca College, Ithaca, N.Y. Professional Affiliations: Member, American Physical Therapy Association Volunteer Activities: Member, Kiwanis of Toano; team captain, Williamsburg Arthritis Walk; faculty review board, Ithaca College Hobbies: Sailing, swimming, golf, kickball Favorite good-for-you foods: Granola over yogurt, watermelon, squash pie

October 2009

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erated dual master’s-doctorate degree program.] I had a plan; I was on a track. This is what I always wanted to do. HJ: What is most challenging about being a physical therapist? AD: A lot of patients come in with the exact same injury or diagnosis, but every patient has different things they need to work on. That’s why I like PT— it’s problem solving. Also, it’s hard getting patients to change their lifestyle, their daily habits. Some people think they can come to PT and it ends there. Or they think they can do it on their own and be fine. Every patient gets assigned a home exercise routine. You can always tell if they are doing it or not.

and fix it. I guess staying positive is what really got me through. HJ: What’s the best thing about living in Williamsburg? AD: I love being close to my family. And it’s cool—because I grew up here I know everyone. Originally I had imagined working at a big city hospital, but I think I am really a small-town girl at heart. I do wish there was a little more nightlife. I usually have to drive to Hampton or Norfolk for that.

HJ: If you didn’t live here, where would you be? AD: Out West somewhere, maybe Arizona. I love the desert. It’s beautiful. No humidity. HJ: What’s the best professional advice anyone’s given you? AD: When I was getting my master’s, I was working full-time and going to school full-time. I really struggled with one course in particular. Another physical therapist told

me that not every course matters. She said: “Do what you have to do to get through it; nothing is a textbook presentation in the clinic.” Basically, that the facts aren’t as important as the experience. HJ: What makes you laugh? AD: Silly people. My dog. Anything, depending on the situation. It’s important to find humor in all situations, even difficult ones. HJ

HJ: What’s the coolest thing about the human body? AD: The brain. If you have a stroke and lose [function] in one part of your brain, the body will form new pathways to do the same task. The body just knows what to do to heal itself. I do mostly physical and motor therapy, but I am really interested in the cognitive aspect of PT. HJ: Has a patient ever really inspired you? AD: I am inspired by any patient who does what I ask them to do and gets better. HJ: Any patient stand out in particular? AD: One. He was in his thirties when he suffered a traumatic brain injury. Now he is unable to work because of mental and physical disabilities. He has so many obstacles to overcome, and recently he started to really put forth the effort to get better. It’s like something clicked. He realizes what he needs to do. HJ: Does he know your story? AD: Yes. He’s the one patient I’ve told it to. He was like: ‘Wow! Really? Cool.’ He remembers some of the details [of my story] but not all. HJ: How did you get through the toughest times of your own recovery? AD: That’s a tough question. I just worked hard at it until I got it right. It never occurred to me that I wouldn’t be able to do certain things again. I knew it might take me longer, or I might have to work harder, but I just kept trying until I was finished. I am a very logical person. If something doesn’t work, I want to figure out why

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October 2009

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eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment in the beautiful Riverside Cancer Care Center located on the campus of Riverside Regional Medical Center. All PCI doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected Physicians are also

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